YAP Scholarship Application 2023

Scholarship Application Form

Priority Deadline - April 15, 2023
Please read and follow all directions carefully before submitting this application. After submitting this application, email a recommendation from a teacher to our offices at watkins.communityed@belmont.edu
I. Personal Information:

Tell us about yourself
All scholarship recipients will be notified on or before the 30th of April 2023. If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
Applicant Name*

First NameLast Name
Age/Grade Level :*

AgeGrade
Parent/Guardian Name*

First NameLast Name
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
II. Demographic Information:
Optional Informations :

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, financial need, children of veterans, area of study, etc.)
Gender:

MaleFemale
Are you a US citizen?

YesNo
Ethnic Origin:

HispanicNon-HispanicNot Indicated
Race? (Choose one or more):

WhiteBlack or African AmericanAsianAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderNon-Resident Alien
Please check veteran status (Check all that apply)

VeteranChild of a VeteranGrandchild of a VeteranSpouse of a VeteranNone of the Above
Does this student qualify for free or reduced lunch?
III. School Information:

Tell us about your school
School Information :*

School Attending

School Address

Teacher Name(s)School Phone
School activities, community activities, volunteer work, honors, offices held:
Art Interest:*

Comic IllustrationPrintmakingPhotographyDigital DesignPainting/Drawing3D ArtFashion DesignInterior DesignArchitecture
IV. Essay

Tell us what attending the Youth Art Program means to you.
Your essay (written by the applicant not the parent) should be 250-500 words. You should address in your essay: why you would like to attend the Young Artist Program and why a scholarship is important to you.
Essay:*

0/500
Upload (at least 2) examples of artwork by the scholarship applicant here. *

Browse Files

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VIII. Applicant's E-Signature
I understand that a condition of my child receiving a scholarship is my commitment to porvide transportation to each class session. By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Belmont University is committed to equal opportunity in employment and education. The College does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

Scholarship Application Form

I. Personal Information:

II. Demographic Information:

III. School Information:

IV. Essay

VIII. Applicant's E-Signature