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CONTACT US / SCHOLARSHIP APPLICATION

Section 1

Student Name:

Date of Birth:

Age:

Student Address:

City:

Zipcode:

Student Phone:

Cell Phone:

High School:

Grade:

Teacher:

School Phone:

Section 2

Check the Scholarship/Award you are applying for (you may check more than one)

Osborne Scholarship

Betty Beeby Scholarship

John R. Alberts Scholarship

JRAC Award

Section 3

Please check the following:

I plan on going to college to study art: Yes       No

I plan to pursue school/training after high-school (not art): Yes       No

If you answered yes, list the college/university or school/training you have applied to:

(please note if you have been accepted to the college/university)

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