MCAD Continuing Education Scholarship Application
Please complete one application per household.
How did you hear about these scholarships?
(select all that apply)
Your first name *
Your answer
Your last name *
Your answer
Child #1 First Name
Your answer
Child #1 Last Name
Your answer
Child #1 date of birth: *
MM
/
DD
/
YYYY
Child #2 First Name
Your answer
Child #2 Last Name
Your answer
Child #2 date of birth
MM
/
DD
/
YYYY
Street address: *
Your answer
City: *
Your answer
Zip code: *
Your answer
Email address: *
Your answer
Telephone number: *
Your answer
Occupation/Title *
Your answer
Does your family qualify for free or reduced price lunch or other economic need based financial assistance? *
If yes, what type?
Your answer
What is your combined family income level? *
Include income level from work, welfare assistance, disability, alimony, social security, pension, etc.
Child or Teen's Ethnic Background
(optional)
What class would your child or teen like to attend (please list title and dates):
Please note that we cannot guarantee placement into any particular class. Scholarships and registrations are awarded on a funds and space available basis. Please indicate a maximum of two class choices per student, and state which class is the first choice and which class is the second. Each child will be awarded a scholarship to attend a maximum of one class each.
Your answer
Do you have any additional information to share that might help us make a decision about whether or not to award a scholarship to your child or teen?
Your answer
Hearing the positive impact that these scholarships have on families assists us in future grant applications. Your assistance in this is extremely important. May we contact you with some follow up questions about your experience and/or a testimonial regarding the impact of receiving a scholarship?
I understand that by supplying faulty information that I am limiting MCAD's ability to provide as many scholarships as possible to deserving families. I therefore certify that I have provided current, accurate, and truthful information and that, if requested I am willing to supply the necessary documentation to support my scholarship request. *
Required
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