Youth Art Program Application Form

All applications must include:

• Completed digital application form and interview questions (Parts A and B)
• If applying for financial aid, fill out Part C completely.
• Parent or Guardian letter (written or e-mail) acknowledging student's application
• Teacher Recommendation Letter (e-mail, fax or mail)

PART A: APPLICATION FORM
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Country:
Home Phone:
Cell Phone:
Email:
School Name:
Age:
Date of Birth:	(mm/dd/yy)
Parent/Guardian Name:
Have you ever participated in a Mattress Factory Program?
Yes No
If yes, please describe:
For Statistical Purposes Only:
Race/Ethnic Origin
How did you here about this program?
Apart from school, where have you attended art courses/programs in the past?
PART B: APPLICATION QUESTIONS
Why would you like to enroll in this program?
Please describe your experiences with art making:
What does art mean to you?
Please describe your experience with installation art and contemporary art:
PART C: FINANCIAL AID APPLICATION
Are you applying for financial aid?
Yes No
Source of Family Income:
Family income received in 2006:
Number of People in household (Household size must equal number claimed on 1040/proof of income)