K-12 Scholarship Application

Guidelines for Submission

Must be a student 18 years of age or younger.
A limited number of scholarships are available. Submission of this application does not guarantee a scholarship.
Approved scholarships cover 100% of the cost of ONE class or workshop over the course of the year after the application is approved.
Applicant must provide a statement of need dictating the reason for application to this program.

If more students within the same household wish to apply for scholarships, please fill out the form once per child. Please allow at least five business days for processing. This scholarship may be applied to all youth (K-12) classes at the Art Center, but a new application must be submitted before every year for renewal of the scholarship.

Further questions may be sent to Rachel Roundtree, Director of Education, at rroundtree@quincyartcenter.org.

K-12 Scholarship Application

Parent/Guardian Name(s)*
First Last
Student Name*
First Last
Student Age*
Please enter a number from 4 to 18.
Student Grade*
Student grade is based upon the grade most recently completed.
School Attending Currently*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Are there any special needs or circumstances you would like us to know about your student?
ex. allergies, mobility issues, etc. — all information will be kept confidential. QAC is always happy to accommodate a student's needs.
Is your participation in Art Center classes contingent upon receiving a scholarship?
- Yes
- No
Have you received a scholarship from the Art Center before?
- Yes
- No
Please answer the following questions: Why do you want to take a class at The Art Center? What do you hope to learn from a class at The Art Center? How will you apply what you learned in the future?
Have you experienced a recent financial hardship? Please explain briefly.
Terms & Conditions*
I agree to the Terms & Conditions.
I hereby certify that my student is 18 years of age or younger and that all information provided is correct and complete. I recognize that QAC will rely on that information. I will be responsible for the cost of any emergency medical care provided to me should QAC instructors or staff, in their judgment, call 911 on my behalf in the event of an emergency.

I understand that submission of this application does not automatically guarantee a scholarship. If my student does receive a scholarship, I also understand that they are to attend the registered class(es) for all days for the full time-period, unless notification of absence is submitted before the start of class, the class is canceled due to low enrollment, or other unforeseen events. I understand that checking this box is just as binding as a written signature.

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K-12 Scholarship Application

Guidelines for Submission

K-12 Scholarship Application

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