Quarterly Arts Scholarship Application

This application does not register you for the activity/class. It is the applicant’s responsibility to register for the directly and assist in coordinating payment directly to the studio/teacher if approved.

Name

First Name

Last Name

Phone

(###)

###

####

Program/Class

What is the class or experience you are requesting funding to support? Please be specific on business name, location and dates.

Qualification

Please verify the following:

Beneficiary lives in, works, or attends school in San Luis Obispo County

Arts program is based in San Luis Obispo County.

Demographic

Check any that apply. These questions are optional and your responses will be helpful in qualifying Reprise for additional funding opportunities such as grants.

Beneficiary is from military/veteran family.

It would be cost prohibitive for the beneficiary to participate in this class/program/activity without financial support of some kind.

This would be the beneficiary's first time participating in an arts program

Previous Award

If a member of your household has received a scholarship from Reprise in the past, please indicate when (approximately):

Application Statement

Tell us why the applicant is a good candidate for this scholarship

Financial Need

Please detail the reason for applying for our scholarship and particular financial need at this time.

Total Cost

What is the total cost of activity/program/event?

Amount Requested

What is the specific scholarship amount you are requesting?

Referral

How did you hear about Reprise?