Please provide your contact information, household information, and indicate what type of scholarship you are applying for.

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* 1. Parent/Caregiver: Please provide your contact information

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* 2. How would you like to be contacted?

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* 7. What is the name of the student you are applying for?  If you are applying for more than one student, please submit separate applications for each student.

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* 8. Does the student have preferred pronouns or a preferred name?

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* 9. What is this student's birthdate?

Date

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* 10. Has/have the student(s) taken classes at WAM before?

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* 11. Does this student have any allergies? If so please list.

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* 12. Please list an emergency contact name and phone number for this student.

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* 13. What classes is the student interested in taking?

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* 14. Provide documentation to verify your financial need here.  Your Scholarship Application is not complete without this supporting documentation.

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* 15. You must check "YES" to acknowledge that submitting this application does not guarantee you, or the students you are applying for, a scholarship placement in any course at the Worcester Art Museum.

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