MARIANANDERSONAWARD
“HonoringArtistswhoseleadershipBenefitsHumanity”
2016YOUNGARTISTSTUDY
GRANTAPPLICATION
OFFICIALFORM
DEADLINE:Completedapplicationsmustbe receivedbytheKimmelCenterofficeby
5PMon Monday,October3,2016
LATEAPPLICATIONSWILLNOTBEACCEPTED.
Name:
Last
First
Middle Initial
Checkone:MaleFemaleSocialSecurity#
Dateofbirth://
Month
Day Year
Address:
Street
Apt.#
City
State
Zip
Phone:( )E-mail:
Parent/guardian name:
Parent/guardianhomephone:( ) workphone:( )
REQUESTINFORMATION:
GrantRequestAmount:$
Please provide a onesentence description ofyourgrantrequest
DidyoureceiveaYoungArtistsStudygrantlastyear?YesNo
NominatorName: Title:
Nominatoraddress:
Nominatordaytimephone:() emailaddress:
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2016 YOUNG ARTIST STUDY GRANT APPLICATION
Nameofpresentschool: Currentgrade/year:
Address:
Street
Apt.#
City
State
Zip
Pleaselistany relevantcoursework,lessons,etc. whichdemonstratethe applicantsinterestin theirartform(optional):
CONFIDENTIAL FINANCIAL INFORMATION:
(Tobecompletedbyapplicant’sparentorlegalguardian)
NOTE: The Young Artists Study Grant Program takes into consideration the financial need ofanapplicant when distributing
grantfunds.Werequirethe following financialinformation in ordertodeterminethe degreeofneedforapplicantstothe
Young ArtistsStudy Grant Program. This information isstrictly confidential and will not beusedfor any purpose other than
tohelpthe YASGpanel determine the varying degrees offinancial needofthe Programapplicants.
Pleaseprovidea copyofyourFiscalYear2015TaxReturnandcompletethefollowingform:
Parent/GuardianName:
Parent/GuardianAddress:
Street
Apt.#
City
State
Phone:( ) Emailaddress:
Zip
Number ofDependents
TotalHouseholdIncome/ Year
$
TotalHousingPayments/ Year
$
HouseholdEducationExpenses/ Year
$
Additional/ExtenuatingExpenses/ Year
$
StudentsTotalIncome/ Year(ifapplicable)
$
Student’sContribution toFamilyExpenses/ Year(ifapplicable) $
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2016 YOUNG ARTIST STUDY GRANT APPLICATION
Please describe any special orextenuating financial circumstances:
APPLICATIONISINCOMPLETEWITHOUTTHISPAGE
In signing this application, I, the undersigned, affirm that the information that I have provided is true and agree to abide
by the Study-Grant Program Guidelines. It is my opinion that this applicant meets the requirements for this Program and I
recommend that this application be considered.
Parent/Guardian’ssignature:Date:
Pleasesee the applicationguidelinestocompleteyourfull application.If you haveany questions pleasecall(215)893–1837.
Before submitting, please use the following checklisttomakesurethatyourapplication iscomplete:
ApplicationFormis signedandcompletedbyparent/legalguardian
ApplicantCoverLetter
Nomination Letter
Fiscal OversightLetter
2015Fiscal Tax Return
Consecutive GrantReport(ifyou receiveda grantin2015)
Optional Materials
Requestsforsupportmustbereceivedby theKimmelCenterofficeby 5:00PMonMonday,October3,2016.
Latesubmissions andfaxedmaterials will not beaccepted.Grantsare expectedtobedisbursedinNovemberof2016.
Mailrequeststo: MarianAndersonAward
Young Artist Study Grant
c/o KimmelCenterforthePerformingArts
1500WalnutStreet,Suite1700
Philadelphia,PA19102
The Young Artist Study-Grant Program is a partnership of The Kimmel Center for the Performing Arts and The Marian
Anderson Award.
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