Name *

Parent or Legal Guardian

First Name

Last Name

Address *

Parent's or Legal Guardian's current home address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

This phone number will be used for correspondence and communication to the parent or guardian of the student. Please list ONLY the phone number of the parent or guardian.

(###)

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Is the student currently enrolled as a student in the 402 Arts Collective Lesson Studio Program? *

Yes

No

Preferred weekly lesson length? *

Please indicate the desired length of your weekly lesson if approved

30 minute lesson per week

60 minute lesson per week

No preference

If required by our financial processing dept., would you be willing to provide proof of income? *

Example: Tax returns, paystubs, etc.

No

Yes

No opinion

Please list one non-relative reference *

First Name

Last Name

Non-relative reference's phone number *

(###)

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Terms and Conditions *

I understand that by submitting this online financial aid application, I am by no means automatically entitled to any financial aid. I understand that this form is strictly an application, and will be reviewed by the 402 Arts Collective scholarship finance committee for approval or denial. *

I AGREE