Scholarship Form

Name

First Name

Last Name

Permanent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address

(If different than Permanent)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Cumulative High School GPA

Class Rank

Extra Curricular Activities

Special Honors or Recognitions

Earned both in and out of school

Work Experience

List all part-time and Summer Jobs

Essay

Please provide your response to the following essay question. Please do not use your name or your family’s name in this essay. You may attach additional pages as needed. There is a 500-word maximum, and it can be typed. Please write this essay without outside assistance. What impact will this scholarship have on your continuing education in the Arts and career plans in the Arts?

Confirmation of Completed Application

As a recipient of the El Paseo Arts Foundation Arts Scholarship, I give EPAF permission to use my name and photograph in their publications, social media, and in the local newspaper.

Enter Name below to certify the above is true and correct:

First Name

Last Name

Date

MM

DD

YYYY