ApplicationSTOBART FOUNDATION
100 Cummings Center Suite 335 J Beverly, MA 01915 (978) 921-0764 It is recommended that each applicant submit for consideration at least six to ten slides, photographs, prints or transparencies. In addition, a copy of a recent tax return, a resume and a recommendation from an affiliated school are requested. If not currently associated with a school, please provide an explanation of your educational history. Name ________________________________________________________________________________ Address______________________________________________________________________________ City, State, Zip_______________________________________________________________________ Home Phone___________________________ Alternate Phone___________________ email_________ Date of Birth _____________________________ Social Security No.__________________________ Last School Attended__________________________________________________________________ Date Entered ___________________________________ Number years attended_________________ Full Time _______________________ Part Time ________________ Certificate __________________ Degree(s)_____________________________________________________________________________ Employment ___________________________________________________________________________ Have you previously received Stobart Foundation Scholarship Funds? _____________ Please write a brief statement concerning your commitment to an education in the fine arts, including your future plans. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ All Materials should be submitted to the following address: The Stobart Foundation, 100 Cummings Center, Suite 335J, Beverly, Massachusetts 01915 |