Scholarship Action Request

Please use this form to request your annual payment, defer your payment, or terminate your Village Art in the Park Scholarship.

Retention Information

Each scholarship recipient is required to be a student at a reputable institution of higher learning, is required to pursue a course of study that will lead to a major or minor in art and must maintain a cumulative GPA of 2.5 and a minimum GPA of 3.0 in their art classes.

Each scholarship recipient is expected to visit Village Art in the Park a minimum of one time each year that they receive scholarship funds. This will be coordinated through the Village Art in the Park Director.

Scholarship Payment Requests must be made by September 30th.

Scholarship payments (after the initial payment) will be made upon receipt of:

Proof of school registration, detailing the art classes registered for.

A transcript or other official report of grades received the following year, on a per class basis.

A list of art related projects, activities, etc. that have contributed to your art education.

If a scholarship recipient fails to maintain yearly communication with Village Art in the Park the scholarship will be terminated.

First Name *

Last Name *

Email *

Phone

Which action are you requesting?

Annual payment

Deferment of this year's payment

Termination of scholarship

Deferment Guidelines

Deferment Requests must be received by September 30th.
Deferments must be approved by the Board of Directors.
Deferments will be granted for a maximum period of one year.
Transcript from the previous year is required, which provides GPA and proof of enrollment in art courses.
The Park Visit is still required, unless waived through special request.
Additional documentation, such as official school approval for your deferral or proof of enrollment in an internship or volunteer program, etc. is appreciated.
The Board of Directors reserves the right to reevaluate any deferment terms on a case by case basis.

Please explain why you are requesting a deferment of your Village Art in the Park Scholarship.

Please share your plan for resuming study.

Have you completed your Park visit this season?

Yes

If you have not visited the Park yet, when do you intend to do so?

Please upload the following items:

Registration, including Class List (must include your art classes) *

Transcript or most recent Grade Report (for renewals only)

Transcript or most recent Grade Report *

Additional Item (if needed)

Notes about your Registration, Class List, Transcript, Grade Report or additional items (if necessary):

Please list any extracurricular activities that you have engaged in over the last year and that have enriched your art education. *

What address would you like your check mailed to?

Street Address

City

State

ZIP code

Please let us know why you are terminating your Village Art in the Park Scholarship.

Signature *

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Date

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Scholarship Action Request

Please use this form to request your annual payment, defer your payment, or terminate your Village Art in the Park Scholarship.

Retention Information

Which action are you requesting?

Please upload the following items:

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