Youth and Teen WAM Scholarship Application (Summer 2024)

Please provide your contact information, household information, and indicate what type of scholarship you are applying for.

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* 1. Parent/Caregiver: Please provide your contact information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. How would you like to be contacted?

Phone

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* 3. How many Individuals live in your household?

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* 4. How many of the Individuals who live in your household are employed?

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* 5. How many of the Individuals who live in your household are under 18 years old?

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* 6. What is the annual income of your household?

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* 7. What is the name of the student you are applying for? If you are applying for more than one student, please submit separate applications for each student.

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* 8. Does the student have preferred pronouns or a preferred name?

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* 9. What is this student's birthdate?

Date / Time

Date

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* 10. Has/have the student(s) taken classes at WAM before?

Yes

Other (please specify)

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* 11. What types of classes is/are the student(s) interested in taking?

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* 12. Provide documentation to verify your financial need here. Your Scholarship Application is not complete without this supporting documentation.

An image, copy of a document, or PDF of one of the following work as documentation to verify financial need: Current SNAP, WIC or other government assistance card (if no date on card, please submit a dated letter or paperwork regarding your card; A copy of the first page of your taxes or your most recent W-2; proof of receiving financial assistance from any governmental agency.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 13. You must check "YES" to acknowledge that submitting this application does not guarantee you, or the students you are applying for, a scholarship placement in any course at the Worcester Art Museum.

Yes