QUESTIONS? email us

 

                                               APPLICATION FORM

                                              Barb Brooks Scholarship 

                                                                Emailed, faxed, late, incomplete applications will not be accepted.  Deadline for submissions is 4pm June 1st. 

 

                                                Name of Applicant _________________________________________________  

                                                Street Address ___________________________________________________ 

                                               City  _______________   Province  _____________   Postal Code ____________ 

                                               Telephone  __________________  Email  _______________________________

 

 

                                                Is the applicant over the age of 18?    Yes ____    No  ____ 

                                                Name of Parent or Guardian  ______________________________________________ 

                                                Address  ______________________________________________________________ 

                                                Telephone  ____________________________________________________________ 

                                                Email  ________________________________________________________________

                                                If applicant is under the age of 18 the above noted parent or guardian is responsible for the funds allocated through this scholarship

                                                and for compliance to the requirements of  this application as stated in the guidelines.

 

                                                 Applicant Agreement:

 

                                                    SIGNATURE OF APPLICANT _____________________________________________________

 

 

                                          BARB BROOKS SCHOLARSHIP FOR EMERGING AND DEVELOPING ARTISTS

HOMEPAGE