Scholarship Request

First name

Last name

Email

Phone

Country/Region

Address

Address - line 2

City

Zip / Postal code

Requested Class(s)

Creative Arts Discovery Practice Day

Creative Arts Discovery Practice, Evening

Intro to Art & Soul

Sustaining Artistic Awakening (prerequisite required)

Sounding Circle

Authentic Movement (series of 4)

Start Date of Requested Class

How much, if any, are you able to to pay towards class fee?

50%

25%

10%

Other

Personal Statement - detailing your interest in the class, financial need, and other relevant information.

I agree to attend all classes in series (if applicable) except when health issues impact attendance.

I agree to provide feedback about my experience and the impact of class and the scholarship.