Artis Tech & More Scholarship Form

Artis Tech & More

Technology Education Scholarship Application
Bridging the Digital Divide, Empowering Every Generation

Thank you for your interest in the Artis Tech & More Scholarship Program. Our scholarships help remove financial barriers by providing access to technology education, equipment (when available), software, and digital resources for qualified applicants.

Please complete all sections of this application.
APPLICANT INFORMATION
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Use numbers
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
Example: Wayne, Oakland, etc.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
PARENT/GUARDIAN INFORMATION (Required for Applicants Under 18)
Parent/Guardian Name

First NameLast Name
Relationship
Mother, Father, Guardian, etc.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Upload Student Letter of Recommendation (from a teacher, counselor, employer, pastor, or community leader)

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EDUCATION INFORMATION
Current School (Youth Applicants)
Current Grade
Use Numbers
Adult Applicants:
Employment
Occupation (If Applicable)
Employer (Optional)
COURSE SELECTION
Please check the course(s) you are requesting scholarship assistance for.
YOUTH PROGRAMS (Ages 8-17):
Adults/Seniors Programs:
PLEASE NOTE:

AI Tools/Keyboarding and programming languages are taught during the Fall Semester which is September - November.

Microsoft Office 365is taught in the Winter/Spring Semester.
SCHOLARSHIP REQUEST
Select All You Are Looking For
*Computer equipment is on loan while in your education program. ONLY on completion of the program, are you able to keep the equipment. If you do NOT complete your program, you will be required to return all computer equipment and course materials.
FINANCIAL NEED
Why are you requesting scholarship assistance?
Select all that apply
If applicable, upload a copy of your most recent pay stub or your most recent tax return:

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PERSONAL STATEMENT
Please answer the following questions.
1. Why do you want to participate in this technology training program?

0/500
2. How will this training benefit you or your family?

0/500
3. What are your educational, career, or personal goals?

0/500
4. Is there anything else you would like the Scholarship Committee to know?

0/500
APPLICANT AGREEMENT

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submission of this application does not guarantee a scholarship award.

If selected, I agree to:
- Attend classes regularly.
- Activily participate respectfully in all learning activities.
- Complete assignments to the best of my ability.
- Notify Artis Tech & More if I am unable to continue or will be absent.
- Follow all program policies and equipment usage requirements.
Signature
Today's Date

MonthDayYear
Enter the date you are submitting your application
PARENT/GUARDIAN CONSENT (Required for Applicants Under Age 18)

I certify that I am the parent/legal guardian of the applicant and grant permission for participation in the Artis Tech & More Technology Education Program.
Parent/Guardian Signature
Today's Date

MonthDayYear
Enter the date you are submitting your application
Should be Empty: