WOODWARD



REQUIRED YOUTH NEED-BASED SCHOLARSHIP APPLICATION FORM

required fields are marked in red

Your name:

First: Last:


Address:

Street:

City: State: Zip/Postal Code:



Phone:

E-mail:

Date of Birth (mm/dd/yyyy):

Gender (male / female):

Current Grade Level: (select one)

School:

Current Cumulative GPA:


Where did you learn about this opportunity?
(please be specific)


Parent or Legal Guardian:
This person will receive a copy of your application form by email. Please notify them to expect this.

First: Last:

Phone:


E-mail:


Academic Reference:
(current or recent teacher or advisor's name and contact info)
This person will receive a copy of your application form by email. Please notify them to expect this.

First: Last:

School:

Phone:


E-mail:


Statement:
(
Briefly explain why you would like to study at Manifest Drawing Center, including the programs you are most interested in taking):

After submitting this form (a copy will automatically be sent to your email address) please email or snail-mail the following to Manfest ASAP:

  • a letter of recommendation from one Academic Reference

and one of the following:

  • a letter from a principal or counselor stating your eligibility for financial assistance and verifying your GPA
  • A letter from your principal or counselor stating your participation in the free lunch program at your school, and verifying your GPA
  • Proof of participation in CHIP or Medicaid programs
  • Copy of the front page of your parent or guardian’s 1040 tax form documenting that you fall within the federal poverty guidelines: http://aspe.hhs.gov/2015-poverty-guidelines (Please obscure any sensitive information such as social security numbers and dates of birth.)

Materials should be emailed to Adam Mysock at mysock@manifestdrawingcenter.org



OR mailed to:

Manifest Drawing Center
Attn: Scholarships
PO BOX 6218
Cincinnati, OH 45206


Double check
the information you entered above.

Checking this box and clicking SUBMIT indicates that you understand the nature of the Manifest Drawing Center programs, this Scholarship opportunity, are willing to document your progress, and are very serious about committing to some level of study in our program.

A copy of your application will be automatically sent to the e-mail addresses you provided. If for any reason you submit your applicatoin form more than once, only the most recent form will be retained in our system. All previous forms will be deleted.
Please print and retain the e-mail for future reference. If you do not receive this email right away, please check your spam box.