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Youth Scholarship Application
Youth Scholarship Application
Student Information
Student Name
(Required)
First
Last
Mailing Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Date of Birth
(Required)
MM slash DD slash YYYY
School
(Required)
Grade Level
(Required)
Parent or Guardian Information
Parent or Guardian Name
(Required)
First
Last
Mailing Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Your Phone
(Required)
Your Email Address
(Required)
Are you a member of Mark Arts?
(Required)
Yes
No
Weekly Class or Workshop Registration #1
Please list in order of preference
1. Title of Class or Workshop
(Required)
1. Instructor
(Required)
1. Day of the Week
(Required)
-- Select --
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1. Class Tuition
(Required)
1. Amount Requested for Assistance
(Required)
1. Family Contribution
(Required)
Weekly Class or Workshop Registration #2
2. Title of Class or Workshop
2. Instructor
2. Day of the Week
-- Select --
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
2. Class Tuition
2. Amount Requested for Assistance
2. Family Contribution
Weekly Class or Workshop Registration #3
3. Title of Class or Workshop
3. Instructor
3. Day of the Week
-- Select --
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
3. Class Tuition
3. Amount Requested for Assistance
3. Family Contribution
Financial Need
(Required)
State your financial need to qualify for this needs-based scholarship.
Student Interest & Commitment
(Required)
In the student’s words, why would he/she/they enjoy participating in a class or camp at Mark Arts.
Parent or Guardian Interest & Commitment
(Required)
State why you feel this child would benefit from taking a class or camp at Mark Arts and your commitment to attending.
Please help Mark Arts measure inclusion by providing the following voluntary information:
I identify my ethnicity/race as:
Hispanic or Latino
Asian
Middle Eastern
White, Not Hispanic or Latino
Native Hawaiian or Pacific Islander
Black or African American
American Indian or Alaska Native
Two or More Races
Prefer not to answer
I identify my gender as:
Female
Male
Transgender Female
Transgender Male
Non-Binary
Prefer not to answer
How did you hear about the Mark Arts Scholarship Program?
(Required)
Parent/Guardian Signature
(Required)
Comments
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