Shake Rag Alley Center for the Arts Scholarship Application
Shake Rag Alley (SRA) has limited funds available for full or partial scholarships to individuals to assist with workshop tuition and/or SRA lodging. We reserve the right to provide scholarships based on workshop availability, available lodging, and funds. (Each person is eligible for up to one scholarship per calendar year.)
Sign in to Google to save your progress. Learn more
First Name
Last Name
Preferred Email
Preferred Phone 
Mailing Address
City
State
Zip Code
What workshop would you like to take? (include workshop title and instructor name)
Have you already registered for the workshop?
Clear selection
Please identify a specific amount you're requesting for assistance (this can be used either for tuition/workshop fees, or you can request SRA lodging if available).
To support your request, please share whatever would be most helpful for us to know. We are leaving this area open to you in terms of what you would like to share, based on your request, and the specific workshop you have identified.

We have finite funds, and limited lodging, but will read your request thoughtfully and respond as soon as we are able. If you would like to share more information or discuss further, please contact Executive Director Christina Kubasta at ckubasta@shakeragalley.org
Did you know we offer 15% off tuition for college students, volunteers (who contribute 10 hours or more), and instructors? You can enter coupon code DISCOUNT15 on the website, or call (608) 987-3292. Discounts cannot be combined. If an individual is eligible for more than one discount they can select which to apply, but cannot combine. 
Would you like to be added to our email list of upcoming volunteer opportunities?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Shake Rag Alley Center for the Arts. Report Abuse
Google Forms