Camp Scholarship Application

LeMoyne Arts Camp Scholarship

LeMoyne Arts is proud to provides a number of art camp scholarships for young artists whose guardians are unable to pay the cost of our camp programs. We offer full and partial scholarships, based on availability and need. Our goal is to make specialized art instruction accessible to interested children who might otherwise be unable to receive it.

To qualify for a scholarship, you must earn a low income in relation to the size of your household, and your children must demonstrate a sincere interest (although not necessarily a skill) in art. This completed form is kept confidential. If you have any questions, please email [email protected] or call 850-222-8800.

LeMoyne Arts Camp Scholarship Application

Registration Information

* Indicates required field

Child's Name *

First

Last

Child's Date of Birth: *

Child's Age: *

Child's School *

Guardian's Name *

First

Last

Grade in School: *

Relationship to Child: *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Please tell us why you believe LeMoyne Arts Camp is a good fit for your child? *

Has your child attended an art camp in the past? *

Yes No

Have you received a LeMoyne Arts Scholarship in the past? *

Yes No

If yes, when? *

What camp are you interested in? *

Household Information

Place of Employment *

Position: *

Work Phone Number *

Take home pay per month: *

Supervisor's Name *

First

Last

Supervisor Email *

Phone Number *

Total household Income per month: *

Total number of people living full time in household: *

Please list and explain any unusual expenses you are expected to meet: *

I certify that all the information provided is true and complete, to the best of my knowledge. Below serves as your virtual signature. *

First

Last

Other comments and additional information: *

Date signed and submitted: *

Submit