• This form is best viewed in Internet Explorer or Netscape browsers, version 5 or higher.
• Some printers may not print checkboxes and radio buttons. You may complete those in ink.
• Your cannot save the completed form to your computer.

Instructions


Step 1: Complete the application form
Enter your information into all of the appropriate fields. Check your spelling. Print two copies of the completed application form on white paper. Keep one copy for your records. (Note: This form cannot be saved to your computer. You must print it while online.)
Step 2: Letters of Recommendation
Include two letters of recommendation from individuals who are familiar with your artistic and academic abilities with your application form. Members of the applicant's family must not write letters.
Step 3: Essay
Write a one-page essay describing what you perceive to be your future in the arts. Type your essay on white 8.5" x 11" paper. Use a 12-point font such as Times New Roman or Helvetica. Use 1" margins on all sides. Type your name on the top of the page.
Step 4: Submit the application package.
Mail or hand-deliver all of the above in one package to: Iowa Scholarship for the Arts, Iowa Arts Council, 600 E. Locust, Des Moines, IA 50319.

Applicant Information


Name of Applicant:

Street Address:

City:

County:


State: Zip code:

E-mail Address:


Home Telephone :

Applicant Social Security Number:

Parent(s) Contact Information


Name of Parent(s):


Parent(s) Telephone (day):

Parent E-mail:

School Information

 
High School:

Graduation Date:

In what Iowa college or university are you enrolled for the 2007-2008 academic year?

Intended Area of Study:

Artistic Achievement

List at least 10 significant achievements in your chosen discipline area; cite the most recent first. If applicable, make sure to demonstrate public and/or professional recognition of your art work. (Please keep each response to ~150 characters or your printer may not print all the information.)

If you are a visual artist, you may submit images of your work for some or all of your 10 "Artistic Achievements". Use the "Artistic Achievement" section of the application to describe your work, include title, materials used, etc.

To submit examples, do one of the following:

1) Submit photos, or good quality color copies in your application packet. Be sure to indicate which of your "Artistic Achievements" the image references.

2) Submit your work samples electronically. Send them as attachments to sarah.ekstrand@iowa.gov, with a subject of "Work Sample, Iowa Scholarship for the Arts". Title each image as "Artistic Achievement #1" and so on, this is to ensure reviewers match what's in your application to the correct electronic sample.

Artistic Achievement 1:
   


Artistic Achievement 2:



Artistic Achievement 3:



Artistic Achievement 4:



Artistic Achievement 5:



Artistic Achievement 6:



Artistic Achievement 7:



Artistic Achievement 8:



Artistic Achievement 9:



Artistic Achievement 10:


Work Experience


Describe extended work experience for which you were paid during the past two years. Demonstrate dependability.

1. Company/Organization:

Position:

Supervisor's Name:

Dates of Employment:


2. Company/Organization:

Position:

Supervisor's Name:

Dates of Employment:


3. Company/Organization:

Position:

Supervisor's Name:

Dates of Employment:

 

Volunteer Experience


List three examples of significant school and community activities in which you have voluntarily participated during the past four years. Demonstrate a range of interests. (Please keep each response to ~150 characters or your printer may not print all the information.)

Volunteer Activity 1:



Special Awards/Honors/Positions:



# of Years Participated:


............................................................................................

Volunteer Activity 2:



Special Awards/Honors/Positions:



# of Years Participated:


............................................................................................

Volunteer Activity 3:



Special Awards/Honors/Positions:


# of Years Participated:

Application Checklist


The following should be included in the application package:
Completed and signed application form
One-page essay
Two letters of recommendation

Assurances


I certify the information contained in this application, including attachments, is true and correct to the best of my knowledge.

Applicant's Signature:

Date: