Arts Scholarship Application 1

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Arts Scholarship Application

Date______
______________

Name_______________________________________________________________________
_

Address____________________________________________________________________
__

Home Phone___________________________ Cell


Phone___________________________

Emergency Contact Number___________________ Date of


Birth__________________

High
School__________________________________________________________________

Art Field______________________________Class
Rank___________GPA______________

Mother’s
Name_________________________________Occupation___________________

Mother’s Place of
Employment_________________________________________________

Father’s
Name__________________________________Occupation___________________

Father’s Place of
Employment_________________________________________________

Number in Family________________Family’s Annual


Income______________________

Colleges/Universities applied
to________________________________________________

_____________________________________________________________________________
_
Colleges/Universities where you’ve been
accepted_______________________________

_____________________________________________________________________________
_

Intended College
Major_______________________________________________________

Please forward completed application to: Mrs. Virginia Smith, Scholarship Chairperson at
3940 Australian Court, West Palm Beach, Florida 33407
Please include: Two letters of recommendation (one must attest to your artistic abilities),
a current resume, and an official high school transcript. Attach additional pages if
necessary.
Contact Mrs. Virginia Smith at 561 842-2926 or Ms. Shawn Henderson at 561 694-0093 for
additional information.

ALL MATERIALS MUST BE POSTMARKED NO LATER THAN


FEBRUARY 20, 2010

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