SAQA Membership Grant Application

Membership Scholarship Application Form

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If you have any questions, please contact us at info@saqa.com.

Your Name*

First NameMiddle NameLast Name

Email*

example@example.com

Phone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Type of scholarship you’re applying for:*

Please select the description(s) that best represents your financial hardship.*

Significant debtMedical expenses not covered by insuranceEligibility for public assistanceResponsibility for financial support of dependentsProhibitive exchange ratesDiscrimination/disability in employmentOther

Are you a current SAQA member (membership is not required to apply)?*

YesNo

Have you been a member of SAQA in the past?*

YesNo

Have you received a SAQA Membership Scholarship in the past?*

YesNo

If you have received a Membership Scholarship, please let us know what SAQA programs you used:

Participated in SAQA online events (SAQA Seminar, Live Chats, Textile Talks, etc.)Entered a SAQA exhibition (global, regional, virtual)Participated in the Spotlight or Benefit AuctionAttended a SAQA regional meeting or local pod meetingAttended a SAQA conference (global or regional)Explored educational and artistic resources on the SAQA website

How else have you benefited from your SAQA membership scholarship?

Please describe your interest and activity in art quilting.*

Please share how a SAQA membership will benefit you. Include any programs or opportunities that specifically interest you.*

Are you able to contribute a portion of the fee?*

YesNo

Amount you can contribute:

Additional Comments: