Bursary Membership Application

Full Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Current Address*

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Living AloneLiving with familyLiving with friendsOther

JointSomeNoneOther

Why are you applying for a bursary membership? Please tell us why you believe that you should be granted a one-year bursary membership to the WSA.*

Tell us about your history with art. How has art been part of your life?

Please provide us with any additional information that may support your application.

The information you provide as part of this application will be protected in accordance with current UK GDPR law. You may be contacted, using th information you have provided, by one of our society committee members, in order to process your application.

The information you have provided will be retained on our database for the purpose of processing this application only. No information will be used for any other purpose. No information will be shared with any third parties.

If you have any questions regarding how we use the infomation you have provided as part of this application, please contact us via email to thewalsallsocietyofartists@gmail.com