Financial Aid form


	Financial Aid/Scholarship Application

A limited amount of financial aid is available for qualifying students of Artspace. The amount of aid is based on family size, income, expenses and the dollars available for this purpose. Aid must be applied for each class session and may not necessarily be repeated to the same family. All information on this application is confidential.

Please complete and submit this form or print it out and mail it to the Executive Director of Artspace, 15 Mill Street, Greenfield, MA 01301. Appropriate proof of income must be attached. You may email it to us. Please make sure you include your name and address and the words FINANCIAL AID at the top of the email.

Student's name
Age
Parent/Guardian (1)
Parent/Guardian (2)
Street (PO Box) Address
City/Town
State	Zip
Phone
Email
Employer
Number of Dependents in Family

Monthly Income
Wages
SS, AFDC, unemployment, disability, welfare payments
Rent Subsidy
Food Stamps
Child Support
Other

Total Income

Monthly Expenses
Utilities
Rent/Mortgage
Telephone
Car
Food
Other

Total Expenses

Is there any large or unusual expenses not reflected above? If yes, please explain.

Other information you feel is important for consideration of your application:

How much can you afford to pay per week?

Program(s) for which aid is desired.

Would you be willing to volunteer in exchange for scholarship?

YES NO

If yes, what skills do you have?


	Note: Students receiving scholarship/financial aid are expected to attend all recitals and concerts and participate in as many as possible.




Artspace Community Arts Center

15 Mill Street, Greenfield, MA 01301

Phone: 772-6811 Fax: 413-772-6800

Email: info@franklyarts.com