Si02 Youth / Teen Scholarship Application

"*" indicates required fields

Name*

First Last

Email*

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you a resident of Garfield?

Yes

Parent/Guardian Contact Information

Parent Guardian Name*

First Last

I am a parent/guardian completing this form on behalf of my student*

Email*

Phone*

Please select all that apply

Please consider me for one of the scholarships reserved for BIPOC applicants

Please consider me for the one of the scholarships reserved for residents of Garfield

Please consider me for one the scholarships for LGBTQ+ applicants

Class Choices

Please list your top 3 classes you are applying for a scholarship for. Please be as specific as possible. Because many of our classes are offered on more than one day and time, please be as specific as possible about which sections you are requesting for your class choices.

First Choice Class*

Second Choice Class

Third Choice Class

Short Essay

A good scholarship application essay will address: (1) why you’d like to take this class and (2) provide any information related to financial need and how this scholarship may remove a barrier to enrolling in this class. If you have any trouble filling out this section, please email vbundy@pittsburghglasscenter.org

Short Essay*

Upload Artwork

Images are not required for beginner level courses. For anything intermediate or above, you must upload at least 1, but may upload up to 5 images of artwork. Images must be in JPG format and not exceed 1MB each. Video submissions no longer than 5 minutes should be linked to in the application text from a service like Vimeo or YouTube. DO NOT upload video files through this form.

File

Drop files here or

Accepted file types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, jpg, jpeg, Max. file size: 1 MB, Max. files: 5.

CAPTCHA

Name

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