REQUIRED MERIT SCHOLARSHIP APPLICATION FORM
required fields are marked in red
Your name: First: Last: Address:
Street: City: State: Zip/Postal Code:
Street:
City: State: Zip/Postal Code:
Phone: E-mail: Date of Birth (mm/dd/yyyy): Gender (male / female):
Current Grade Level: (select one) _____________ Freshman Sophomore Junior Senior Other
School:
Current Cumulative GPA:
Where did you learn about this opportunity? (please be specific)
Parent or Legal Guardian: This person will receive a copy of your application form by email. Please notify them to expect this.
First: Last:
Phone: E-mail:
Academic Reference: (current or recent teacher or advisor's name and contact info) This person will receive a copy of your application form by email. Please notify them to expect this.
After submitting this form (a copy will automatically be sent to your email address) please email or snail-mail the following to Manfest ASAP:
Materials should be emailed to Adam Mysock at mysock@manifestdrawingcenter.org OR mailed to:
Manifest Drawing Center Attn: Scholarships PO BOX 6218 Cincinnati, OH 45206
Double check the information you entered above. Checking this box and clicking SUBMIT indicates that you understand the nature of the Manifest Drawing Center programs, this Scholarship opportunity, are willing to document your progress, and are very serious about committing to some level of study in our program.
A copy of your application will be automatically sent to the e-mail addresses you provided. If for any reason you submit your applicatoin form more than once, only the most recent form will be retained in our system. All previous forms will be deleted. Please print and retain the e-mail for future reference. If you do not receive this email right away, please check your spam box.
