Drawing Class Scholarship Form

OC Fair Winner*

OC Fair Winner

Class Term

Fall 2019: 9/28-12/7 (no class Saturday, 11/30)
Spring 2020: 1/25-3/28
Summer 2020: 6/6-8/15 (no class Saturday, 7/4)

Materials Needed

- 18" x 24" Strathmore Series paper pr equivalent weight drawing paper (bond)
-One of each graphite pencils H, HB, 2B and 4B
-One of eachvine charcoal sticks and hard
-One Magic Rub and one kneaded eraser
-One X-ACTO knife
-Portable container to hold materials

Student Information

First Name*

Middle

Last Name*

Social Security Number

A Social Security Number is required to apply for federal, state and in some cases private financial aid, as well as claim tax credits for higher education costs known as the American Opportunity Tax Credit in accordance with the Taxpayer Relief Act of 1997.
Federal law requires Laguna College of Art + Design (LCAD) to provide specific information to the Internal Revenue Service (IRS) for the purpose of filing an information return (IRS Form 1098-T "Tuition Statement") for each student in attendance, with a few exceptions.
The information required by the IRS includes the student's name, address, Social Security Number (SSN) or Taxpayer Identification Number (TIN/iTIN), and enrollment status, as well as the amount of tuition paid or billed, and scholarships received. (26 C.F.R. 1-60505-1(b)(2)(ii).)
Failure to provide a correct Social Security Number or TIN while claiming tax credits for specified education expenses may result in a penalty levied against the student by the IRS in the amount of $100, per year, until the missing or incorrect information is provided (26 C.F.R. 1-60505-1(e)(4)).

Gender

Female
Male

Are you of Hispanic/Latino origin?

Yes
No

Select one or more of the racial categories below that best describes your racial background:

White – A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American – A person having origins in any of the Black racial groups of Africa.
American Indian or Alaska Native – A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment.
Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Birth Date*

Email*

Cell Phones Number*

Home Phone Number

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

High School*

Year of Graduation*

College

Are you under the age of 18?*

Yes
No

Minors Name*

has permission to attend the Drawing Portfolio Development course with undraped model.

Parent Guardian*

Parent / Guardian Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent / Guardian Signature*

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