Scholarship Fund Application - The Center for Contemporary Art

If you need assistance completing this form, please contact Geraldine Ong, Director of Education Programs and Operations at [email protected]

Scholarship Fund Application Form

Contact Name(Required)

First Last

Date of Birth

Pronouns(Required)

(ex. she/her, he/his, they/them)

Email(Required)

Phone(Required)

Please enter a valid phone number.

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I am applying for...(Required)

Are there specific courses, instructors, or mediums you are specifically interested in?

Please respond to each of the following in 2-5 sentences.

What excites you about art! Tell us more about your interest in or experience with art. Do you have a favorite artist (performing or visual) who inspires you?(Required)

What are your learning goals for the art instruction you will receive? What would you like to learn most and why?(Required)

What makes you a good fit for a scholarship?(Required)

Do you have any prior experience with The Center’s community? Attending classes/exhibitions/events or otherwise?(Required)

Youth Scholarship Fund applicants only - what school do you attend? Who is your art teacher?

Family/Household Information (OPTIONAL)

This information helps administrators to collect data on who is applying for our scholarship programs so that we may continue to work toward greater equity. Should you choose to respond, all information in this section will be kept confidential. If you are completing this application for a minor child, please respond based on the applicant’s profile.

Race/Ethnicity

Highest grade level completed/degree earned

Do you identify as a disabled person?

Yes

Prefer not to say

Does the applicant require any learning and/or accessibility accommodations?

Financial/Annual Household Income

$10,000 - $19,999

$20,000 - $34,999

$35,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000+

How many members are in your household?

Name

This field is for validation purposes and should be left unchanged.