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Artist Scholarship Application

An initiative of the Pat Franklin Memorial Fund, the Artist Scholarship Project enables students to come to Flying Deer programs they would not otherwise be able to attend due to limited finances. In return, the fund requests that these students create a work of art expressing the way in which nature and Flying Deer culture impacted them personally in the program. The work may be in the form of music, visual art, poetry, writing or theater, and will be shared formally with the student’s personal community, as well as with the Flying Deer community at large.

Ready to get started? We recommend that you use Firefox or Chrome to complete this application. Please do not register on your phone as we are still working out technical difficulties with our mobile interface.

Here’s what you will need to complete this registration:

  • A digital copy of your most recent 1040 tax return or other proof of income to e-mail to us.
  • If you are applying for a child, a digital copy of your child’s most recent immunization record to upload, if they are immunized. If your child is not immunized, you will have the option to indicate that.

You will be able to save this form and return to it later if necessary.

Name of Participant
Program you wish to attend
Fiscal Responsibility
List names of parent(s) or guardian(s) responsible for program fees.
Income Information
Monthly household income of participant(s)’ household (including child support, if applicable).
Number of adults in household.
Number of children in household.
Tax Forms

Please e-mail us proof of income, such as your most recent 1040 income tax return (first page only) and/or pay stubs for the last six months. If your financial circumstances have changed significantly from the information contained on your return, please explain this in the question below regarding special circumstances.

If you are unable to provide a tax return or pay stubs, please e-mail us a financial statement explaining your current circumstances. If you have one, you may also include a copy of your letter of certification for Free and Reduced Price Lunch. 

Additional Information
Why do you need financial assistance? Please explain any circumstances you would like the committee to consider when reviewing your application.
Why is it important for your child(ren) to attend? What do you hope your child(ren) will gain from the experience? (We encourage older children to complete this section themselves.)
FOR APPLICANT ONLY

If you are awarded an Artist Scholarship, you will be responsible for completing your project within 1 month of the final date of the program and presenting the project, along with an artist’s statement, for the Artist Scholarship Committee members and/or other Flying Deer community members. The project will then be displayed at FDNC and photographed (for visual art) or recorded (for music and drama) to be archived and/or displayed by Flying Deer Nature Center. 

Please describe the project you wish to create in reflection of your experience at FDNC.
Skills
Flying Deer’s Financial Assistance program is made possible by our fundraising activities throughout the year, including our annual Flying Deer Day celebration, annual appeals, special events, etc. If you are interested in volunteering to support our fundraising activities, please list any skills you can offer—these might include cooking, setup or cleanup, administration, or helping to solicit items for our silent auction.
Signature
I have read and completed this form to the best of my ability and certify that all information included is accurate.
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