Sugar Shack Scholarship Application Question Title * 1. Name Question Title * 2. Email Question Title * 3. Phone Number Question Title * 4. Date of Birth Date Date Question Title * 5. Where do you live? Question Title * 6. How would you describe your gender identity Female Male Transgendered Female Transgendered Male Gender varient / non conforming Not listed Do not want to answer None of the above If not listed, please describe below Question Title * 7. Preferred pronouns Question Title * 8. Racial or Ethnic identity White Black Hispanic, Latino, Spanish origin Asian Asian Indian American Indian or Alaskan Native Middle Eastern or North African Pacific Islander Please leave comments below regarding your choice above. Question Title * 9. What is your household income? Under $50K Between $50 - $100K Between $100K - $200K Over $200K Question Title * 10. Which area below are you seeking a scholarship for? Summer Camp for Teens Portfolio Reviews Open Call for Emerging Artists Six-Month Mentorship Question Title * 11. How did you hear about us (If referred, by whom) Question Title * 12. Have you taken classes at LACP in the past? Yes No If so, which courses? Question Title * 13. Have you attended LACP events (in-person and/or online) in the past? Yes No If yes, which? Question Title * 14. Schools attended (please include years and locations.) Question Title * 15. References: Please provide contact information for two references (name, email addresses, phone numbers) and note their connection with you. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File References: Please provide contact information for two references (name, email addresses, phone numbers) and note their connection with you. Question Title * 16. 2nd reference upload PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File 2nd reference upload Question Title * 17. Please submit a one-page Statement of Purpose (no more than 500 words) describing your reasoning for applying for a scholarship, how it will benefit you, and if awarded, what your ultimate goal would be. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please submit a one-page Statement of Purpose (no more than 500 words) describing your reasoning for applying for a scholarship, how it will benefit you, and if awarded, what your ultimate goal would be. Done
