Pass It On Program Financial Assistance Application
Form to collect information from individuals seeking financial assistance for class fees under the Pass It On Program.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Class Title and Date (if known)
If you do not have a specific class in mind, you can select the type of programs you would like assistance with below. You an select more than one option.
Adult Acrylic Painting Class
Adult Watercolor Class
Adult Artist Workshop
Kids After School Programs (Ages 6-11)
Kids Watercolor Class (Ages 11+)
Kids Summer Classes
Family Painting Classes
Anything you would like us to know about financial barriers to participation?
You do not need to go into detail and your response is optional.
Are you currently signed up for OR on a waitlist for the class?
*
Yes
No
Would a partial award help you attend?
*
Yes
No
I understand awards depend on available funds and class availability. Priority is given to families and children (I Agree)
*
Submit
Should be Empty: