Tuition Assistance May 10, 2022 shellie Blog Person to contact concerning this request(Required)1st Student Name(Required) First Last Age(Required)Birth Date(Required)Grade(Required)Please select (helpful, but optional) White African American Native American Asian/Pacific Islander OtherClass(es) requested(Required)2nd Student Name First Last AgeBirth DateGradePlease select (helpful, but optional) White African American Native American Asian/Pacific Islander OtherClass(es) requested3rd Student Name First Last AgeBirth DateGradePlease select (helpful, but optional) White African American Native American Asian/Pacific Islander OtherClass(es) requestedGuardian/Applicant's Daytime Phone(Required)Family Mailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Please share with us why you are requesting this scholarship.(Required)Are you employed(Required) Yes NoIf yes, where?If married, is spouse employed? Yes NoIf yes, where?Are you a full-time student?(Required) Yes NoIf married, is spouse a full-time student? Yes NoHow many persons are in your household?(Required)Please estimate your current household income:(Required)Less than $10,000$10,000-$20,000$20,000-$30,000$30,000-$40,000$40,000-$50,000$50,000-$60,000$60,000-$70,000More than $70,000Are you receiving/do you qualify for any governmental subsidy or financial assistance such as reduced lunch program, social security, disability, etc?(Required) Yes NoIf yes, please specify:Amount of tuition that you offer to pay per month(Required)How can you volunteer time and skills?(Required) periodic 'work' days for studio upkeep sewing/repairing/altering costumes Bargain Costume Closet annual event/sale setup and/or tear down other, please specify below...Other times/skills to volunteer:Consent(Required) I certify that the information I have provided in this form is truthful and accurate.Signature (please type)(Required) First and Last Δ
