Scholarship Application - Nevada Museum of Art

Name*

First Last

Address*

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

Phone*

Email*

Parent's Name (If student is under 18 years of age)

First Last

Student's Age

Last year's household income**

*From time to time we may request a copy of last year's tax return to verify income.

Number of People in household*

Check all that apply.

Yes, I am a current Museum Member
Yes, I am a teacher and would like to receive In-Service Renewal Credit from the Nevada Department of Education
Yes, I have previously received a scholarship from the E.L. Cord Museum School.

Which class are you interested in?*

Class Name Day / Tine Cost

What needs will this class fulfill in your artistic development?*

Describe the importance of the arts in your life.*

Briefly explain your financial need.*

Let us know include any background information you feel is pertinent including past classes, skill level, future interests, etc.*

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