Apply for an Adult Scholarship | Burlington City Arts

Name

Date of Birth (used to confirm program eligibility)

Address

City/Town

State/Province

ZIP/Postal Code

Phone

Email Address

Name of Class

Class Start Date

Tuition/Fee

What do you hope to gain by participating?

Would you like to add Open Studio Access (if offered with the class) for an additional fee?

BCA Studios typically offer 20-30 hours per week of daytime, weekend and evening open studio hours. The open studio schedule will be provided by your instructor at the first class. Please note that we have a limited amount of scholarships for studio access.

BCA is committed to removing financial barriers to participation for all and to reserving significant financial assistance to support our most vulnerable citizens. If you are requesting financial assistance, please select the amount below.

25%

Check this box if you can almost fit this program into your budget but need a little help.

50%

Check this box if you are doing OK financially but live within a strict budget.

75%

Check this box if you are struggling financially but living paycheck to paycheck.

100%

Check this box if you qualify for any of the following programs: BED Energy Assistance; Vermont Seasonal Fuel Assistance; 3SquaresVT; VGS Energy Assistance; Vermont Section 8 Assistance.

I am not requesting a scholarship.

I grant permission for the City of Burlington or its agents to photograph or record my image or voice, during programs and activities, without payment or consideration. I understand that any such photographs or recordings will become the property of the City of Burlington. By selecting "yes" I am agreeing to the above. Additional details can be found in the Assumption of Risk and Waiver of Liability.

Yes

I grant permission for the City of Burlington or its agents to photograph or reproduce images of my artwork, during programs and activities, without payment or consideration. I understand that any such photographs or recordings will become the property of the City of Burlington. By selecting this box I am agreeing to the above. Additional details can be found in the Assumption of Risk and Waiver of Liability.

Yes

I am a student at the following college:

The University of Vermont

Champlain College

Saint Michael's College

Other

I am not currently attending college

Please enter the full name and phone number of an individual you would like contacted in case of an emergency.

We strive to create a joyful experience for all program participants. Is there information that would be useful to share to enhance the participant's learning experience?

Please tell us more about you! We are committed to creating a diverse and inclusive organization. The following section is optional, but your information will help us greatly in developing future programs and events. Thank you! Your privacy matters to us. Your information will never be shared or sold.

Age

6-10

11-17

18-25

26-45

46-65

65+

Gender

Female

Male

Non-Binary

Self-Identified:

Protected Classes (Select all that apply)

Veteran or Active Duty Personnel

English Language Learner

Living with a Disability

Living below the Poverty Line

Living in non-traditional housing (such as a hospital, assisted care facility, homeless shelter or other transitional housing facility)

None of the above

Self-Identified:

Race/Ethnicity (Select all that apply)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Prefer not to say

Self-Identified:

BCA’s Education Director is usually able to process scholarship applications in a week’s time (or less) and will be back in touch. Questions? Contact BCA Education Director Melissa Steady: msteady@burlingtoncityarts.org