Scholarship/Honorarium Application Form

This page is to be filled out by the workshop participant and submitted on-line or printed and mailed. The reference for application form is to be filled out by a person giving references for the participant. (required fields)

Name of Applicant:
Address of Applicant:
Address 2nd line:
City:
State:
Zip:
Country:
Phone:
E-Mail:

 

Previous Instruction at Dillman's
Year:
Instructor:
Institution:
Are you presently attending school?
If so, which one?
School Address:
City:
State:
Zip:

 

List Your Three Choices for a
Workshop in the Current Season:
FIRST CHOICE
Instructor:
Date:
SECOND CHOICE
Instructor:
Date:
THIRD CHOICE
Instructor:
Date:
Preferred Artistic Medium:
 
Second Artistic Medium Preferred:
 
How many years have you been participating in your first preferred medium?
What minimum dollar value do you require to take advantage of the workshop?

 

List any notable achievements or awards:

List any creative groups of which you are presently a member of: (i.e. art leagues, photo club, writers group, etc.)

FOR SCHOLARSHIPS - Please use the box below to make a brief statement describing your reasons for applying for the award. List the factors that would affect your ability to pay tuition. Explain how a workshop would benefit your future plans. HONORARIUMS do not require proof of financial need.

Comments:

Parent or Guardian if applicant is under 18:
Name of Parent:
Address of Parent:
Address 2nd line:
City:
State:
Zip:
Country:
Phone:
E-Mail:


or print and mail to the: Scholarship Committee
Dillman's Creative Arts Foundation, Inc.
Post Office Box 98F
Lac du Flambeau
Wisconsin 54538

DILLMAN'S CREATIVE ARTS FOUNDATION, INC. admits participants of any race, color, sex, age, religion or national or ethnic origin.

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Sunset at Dillman's