Applicant's name (print)___________________________HomeTelephone____________

Mailing Address________________________________________________________
           _______________________________________________________________
Email Address:  ____________________________________

Parent/Guardian_________________________________ Home Telephone____________
Mailing Address__________________________________________________________

            _______________________________________________________________

Art Teacher_____________________________School/Home Telephone____________

Mailing Address___________________________________________________________
                 _______________________________________________________________

1. In addition to completing the standard John Handley High School scholarship form a student applicant should also submit this application which includes five photographs of their work in drawing, painting, and sculpture. Also, send in the teacher recommendation.  Except for the teacher recommendation all parts of the application should be completed by the student.

Each photograph should be glued to an 8 1/2" x 11" piece of paper with the following information on the paper: student artist, teacher for that class, medium, classification, objective of the piece, and signature of your current art teacher confirming that the art work is in fact your creation.

2. Mail the John Handley High School standard scholarship spplication, and The Shenandoah Fine Art Scholarship application with the five photos to the above address for The Shenandoah Fine Art Scholarship.

3. Give the referral to your art teacher with a pre-stamped and addressed envelope. The envelope should also be addressed to The Shenandoah Fine Art Scholarship address listed above. Have her/him complete the form and mail it directly to the scholarship fund address in New York.

All completed applications should be in the mail to the New York address listed above.

Should you win the award do you give your permission for your photograph and name to be used on literature for future fund raising?_______yes _______no

Signature of applicant____________________________Year of Graduation__________Date_________
 

page 2-6.  This page has to be copied five times.  One page for each photograph.
 
 

You must submit a total of five (5) photos of your work. Each photo is on a separate sheet.
 
 

List:
1. Student artist:______________________________________________
2. If this work was done in school list the name of the teacher at the time of the assignment__________________________________________________
3. Medium_____________________
4. Classification: Drawing, Painting, or Sculpture______________________________
5. Objective of the piece:_____________________________________________________

________________________________________________________________________
 

6. Signature of your current art teacher who is confirming this work is yours.
Art Teacher_____________________________________________
 
 
 

****************
page 7.  Detach from the rest of the application and give to the art teacher separtately with an envelope addressed to the scholarship.
 

Name of the John Handley High School student who is applying for the Fine Art award of The Shenandoah Fine Art Scholarship of New York: (print)_________________________________________

Name of the art teacher (print)_________________________________________  Email: __________________

This portion of the application has to filled out by the school's art teacher and mailed by that teacher to the above address for the scholarship. The applicant was instructed to provide the teacher with a stamped and addressed envelope for that purpose.

Please rate 1-5, with 5 being the highest.
Motivation:_____
Talent:_________
Responsibility_____
Likelihood of completing college____
How long have you known this student?__________
Can you verify that the photographs of work being submitted are in fact that student's work?
________________________________________

Other comments regarding this student:  (Use the back if you must)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Signature of Art Teacher:_________________________________________________

Mailing address:________________________________________________________
                         _____________________________Zip Code______________________

Telephone: ___________________________ Email: __________________________