Name *

First Name

Last Name

Financial Need Self-Evaluation *

Check all that apply.

My income does not exceed my expenditures

I would not be able to attend this workshop at full price

I am single and would pay for this workshop on my own (not funded by my employer)

I would not be able to attend this workshop at half price

I am an artist/teacher/other professional dedicated to a field with limited earning potential

I have significant debt

I financially support family members

My educational/social/family background limit my possibility to increase my earnings

I am a dependent/rely upon financial support from others

I receive disability benefits or public assistance

I have limited savings

I have significant medical expenses

I have immigration-related expenses

I am a student

Other (see Additional Information below)

Work Study

I am interested in...

Half Scholarship only

Half Scholarship or Work Study

Radio

I WOULD like my application to the program to be considered if I do not receive a scholarship

I WOULD NOT like my application to the program to be considered if I am not offered financial aid