EmailMe Form - SPAA - Funding Futures Student Application Form

Name of Student

First Last

Age

Parent/Guardian

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email

Current School

Grade

Name of camp

Cost of camp

Final result of camp (date of performance or exhibit, etc.)

Why would you like a Funding Futures grant? *

What do you need the funding for (such as program cost, instrument, ballet shoes, etc.)? *

How would attending this arts camp help your student? *

Why would you like a Funding Futures grant? *

How would attending this arts camp make you feel or how will it help you in the future? *

(Teens, please tell us in your own words. Parents of young children, please tell us why your child is interested in continuing their arts education.)

Total # Adults in Household

Total # Children (under 18) in Household

Please upload proof of one of the following:

Free/Reduced Lunch Verification Form

Attendance at a Title 1 School

In the custody of the Department of Children and Families

In a foster or group home

Upload a photograph of the student for publicity purposes.

Submitting this form constitutes a photo release for the use of this photograph.