JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CARPE ARTISTA ARTS ACADEMY
FINANCIAL NEED SCHOLARSHIP APPLICATION
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Applicant Name
*
Your answer
Email address
*
Your answer
Student Name (if different from applicant)
Your answer
Services interested in
*
Summer Camps
Private Lessons
Group Classes
All of the above
Other:
Required
Mailing address
Your answer
City
Your answer
State
Your answer
ZIP Code
Your answer
Cell Phone xxx-xxx-xxxx
Your answer
ADULT PERSONS LIVING IN THE HOUSEHOLD
*
Parent/Guardian/Adult(s) with DOB
Other Adults with relationship to parent and DOB (example, mother, 65. Adult child, 19, etc)
Your answer
CHILDREN LIVING IN THE HOUSEHOLD
Please list names and DOB of everyone else in the household
Your answer
TOTAL ANNUAL HOUSEHOLD INCOME
*
Your answer
Comments or questions
Your answer
AFFIRMATION OF ACCURACY
*
By checking this box I affirm that all of the information provided is true and accurate to the best of my knowledge. I agree to provide additional documentation as requested by Carpe Artista Academy to substantiate my financial assistance calculation. I acknowledge that financial assistance is based on need and is provided in accordance with the guidelines set by Carpe Artista Academy. In the event anyone in my household wishes to cancel their participation in Carpe Artista Academy programs/activities, I will contact the Academy office immediately so assistance may be redirected to others. I understand that falsification of this application may result in immediate termination of financial assistance and may disqualify my household from receiving financial assistance in the future.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Carpe Artista.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
