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2021 Scholarship Request Summer Mural Arts Program
SCHOLARSHIP AWARDS ARE LIMITED AND ARE ON A FIRST COME FIRST SERVE BASIS FOR THOSE WHO QUALIFY. All areas must be filled out completely to be able to register your child. We are looking forward to a great summer and we look forward to adding a new mural to our Sparkling City by the Sea. If you have any questions regarding our program please feel free to contact us.
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* Indicates required question
All information and criteria must be completed to be considered for a scholarship to K Space Contemporary Summer Mural Arts Program. * (initial below)
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Your answer
I wish to apply for a scholarship for K Space Contemporary's Summer Mural Arts Program. I understand K Space Contemporary does not guarantee funding for my child/youth to participate in the mural program. * (initial below)
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Your answer
Attended Camp Before
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Yes
No
Received Scholarship Before
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Yes
No
Student First Name
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Your answer
Student Last Name
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Your answer
Choose
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Male
Female
Other:
Student's Age
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Your answer
Parent/Guardian First Name
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Your answer
Parent/Guardian Last Name
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Your answer
Address
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Your answer
Email
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Your answer
Annual Combined Family Income:
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Your answer
Total # family members living in household.
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Your answer
Employer / Position
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Your answer
Employers Address
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Your answer
Does Participant Have Transportation?
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Yes
No
Does Participant Qualify For Lunch Program?
Yes
No
Clear selection
Do you qualify for WIC/Chip/Lonestar Card?
Yes
No
Clear selection
By electronically initialing this scholarship request form I, parent/guardian, attest that the preceding information is true to the best of my knowledge. (initial below)
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Your answer
Please answer each question in box below: Is your child interested in the arts? Why does your child want to participate in our program? How does he/she feel they will benefit from our program? Are they excited to try new things?
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Your answer
Referral is Required: Please include Name, Contact Number and if this is a teacher, art instructor, mentor, foster gaurdian. Must be a non-family member. By filling this out you give K Space Contemporary the permission to contact this person.
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Your answer
Date
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