Scholarship App Can you afford to contribute some money towards your workshop fee? Yes No If yes, how much can you contribute? $ All information you supply is confidential. If you are applying for a full scholarship or a partial scholarship, you must complete the information below. Thanks! Your Name * Address * City * State * Zip * Your Email * Employer(s) Telephone Home Work Class(es)& Dates: Reason for applying for a scholarship: Monthly Income (include sources): Total Monthly Income Monthly Expenses: Total Monthly Expenses: Image Code: