Financial Aid Application

Student's Information

Complete application form for one child at a time

Name*

First Last

Grade*

As of today's date; choose one

School*

Home address*

Street Address Address Line 2 City State ZIP Code

Are you applying for financial aid through Open Doors Asheville?*

Yes
No

Parent/Guardian Information

Name*

First Last

Relationship to student*

Email*

Daytime phone*

Other phone

Other Emergency Contact Information

Complete if different from parent/guardian above

Name

First Last

Relationship to student

Daytime phone

Application for Financial Aid

For which educational program would you like to apply for financial aid?*

Indicate one (Summer Art Camp, etc.)

If you are applying for Summer Art Camp, please choose which weeks you're interested in registering your child for.

Week 1: June 17-21/K-2nd grade
Week 2: June 24-28/3rd-5th grade
Week 3: July 8-12/9th-12th grade
Week 4: July 15-19/K-2nd grade
Week 5: July 22-26/6th-8th grade
Week 6: August 5-9/K-2nd grade
Week 7: August 12-16/3rd-5th grade

Morning (9am–noon) and Afternoon (1–4pm) sessions are offered each week of camp. Students may sign up for both morning and afternoon and stay for both sessions.

How many children under 18 currently reside in your household?*

How many adults aged 18 or older currently reside in your household?*

My current total annual combined household income is:*

Choose one

How much can you afford to contribute for your child to participate in this program?*

Choose one. Minimum amount is $15 to cover application processing fee.

Preferred payment method*

Choose one

Parent/Guardian Consent and Agreement

Consent for Participation*

I give my consent and approval for the student's participation in the above-named educational programs at the Asheville Art Museum. I hereby authorize medical treatment which may be advised or recommended by an attending physician while my child is participating in the program. I give my child permission to be transported for program activities, and grant permission for him/her to participate in all field trips. I will not hold the Asheville Art Museum responsible in case of accident as a result of participation.

I agree.

Agreement for Transportation*

I will provide transportation for my child to and from the above-named educational program at the Asheville Art Museum.

I agree.

Agreement to Notify*

I will contact the Asheville Art Museum at least one week before the above-named educational program's start date if for any reason my child can no longer participate.

I agree.

Digital signature*

The information that the information I have provided is true and accurate to the best of my knowledge.

I agree.

Phone

This field is for validation purposes and should be left unchanged.

Student's Information

Parent/Guardian Information

Other Emergency Contact Information

Application for Financial Aid

Parent/Guardian Consent and Agreement

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