Scholarship Application '21

Scholarship Application

In an effort to provide access to media arts education and exposure to related professions for all, the Montclair Film provides scholarships for qualified students. Decisions are based on financial need and are determined on a rolling basis.

Student's Name:*

First Name

Last Name

Please specify the class you are applying for.

Please indicate Session if applicable

In a few sentences, please tell us why you would like to take this class*

Student's Email*

School (if applicable)

Grade (if applicable)

For Summer Academy, please enter grade going into in the fall.

Parent/Guardian Name (if applicable)

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Parent/Guardian E-mail (if applicable)

Parent/Guardian Phone (if applicable)

Financial Information

All financial information will remain CONFIDENTIAL.

Total Annual Family Income *

Household Size *

Does your child qualify for reduced or free lunch?*

No Reduced lunch Free lunch

The information above is accurate and can be verified. I approve the above student's application to this program, and if they are chosen, assure my ability to provide transportation for them (If applicable) to take full advantage of this opportunity.

Student (if over 18) or Parent/Guardian Signature*

[clear]

Use your mouse or finger to draw your signature above