Print Form

La Quinta Arts Foundation

Visual Arts Scholarship Application
Part One: Personal Contact Information
Full Name:

Date of Birth:

Street Address:

City:

Home Phone Number:

State:

Cell Number:

E-Mail:

Preferred Contact Number:

Parents or Legal Guardians Name:

Parents or Legal Guardians address:

Parents or Legal Guardians Phone Number:

Parents or Legal Guardians E-Mail:

Part Two: Education Information (When prompted please check only one box)
School you currently attend:

High School you attended:

What is your present grade level? 12(High School)

13

Are you currently taking art classes? Yes

If yes, please list:

No

14

For High School Students, Are you in college preparatory curriculum? Yes

Please list your school activities:

Please list your non-school activities:

Part Three: Educational Plans

What college/school do you plan to attend?

Have you applied to that school yet?

Yes

No

Have you been accepted to that school yet? Yes

If yes, please give the contact information of the college/school:

No

15

16

No

Zip:

Street Address:

City:

School Website:

School E-Mail:

Have you applied to any other colleges/schools?

Yes

State:

Zip:

State:

Zip:

No

Have you been accepted to any other colleges/schools? Yes

No

List all names of the colleges/schools where you have been accepted:

Scholastic Achievement Test (SAT) Score (High School students only):

List all Honors and Awards:

Are you applying for other scholarships?

Yes

No

What is your planned Major?

Are you planning on pursuing a career in the visual arts? Yes

Do you have specific career plans?

Yes

No

No

Please describe these plans:

Do you have any experience in this field?

Yes

No

Please describe this experience:

Part Four: Financial Data

Will you attend college/school whether or not you receive a scholarship? Yes

Will you be employed while attending college/school?

Are you currently employed?

Yes

Yes

No

No

No

Employers Name:

Employers Street Address:

Employers Phone:

Employers Website:

Your job description:

City:

Employers E-Mail:

Approximately what percentage of your support for college will come from your parents?

Estimate your college/school expenses for the school year:

First Choice of College (For Returning Students list only current school)
Name of School:

Tuition Fees:

Books:

Art Supplies:

Living Costs:

Transportation Costs:

Other (Specify):

Total for First College Choice:

Second Choice of College

Name of School:

Tuition Fees:

Books:

Art Supplies:

Living Costs:

Transportation Costs:

Other (Specify):

Total for Second College Choice:

Part Five: Your Interest in the Arts

In what area of art are you most interested?

How long have you been interested in this area of art?

How often do you work in this area? Occasionally

Have you ever sold any of your artwork? Yes

Once/Twice per week

No

Daily

Part Six: Essay

In 300 words or less explain your interest, career and professional goals in the field of Visual Arts, use
additional pages if necessary.

After filling out this form press the PRINT FORM button and mail or fax to:
You can Save As and then Print also.
Questions may be directed to:
La Quinta Arts Foundation
Kathy Taylor Bauer, Administrative Manager
78150 Calle Tampico Suite 215
La Quinta, CA 92253
760-564-1244 ext. 103
760-391-6923 fax
kathy@lqaf.com