Scholarship Application

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.*