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Form VACS (Continuing Student- Revised March 2015)
Department of Visual Arts Continuing Scholarship
Administered through Alabama State University Department of Visual Arts
APPLICATION FORM Continuing Students
(Print Clearly or Type. Complete Entire Application Incomplete or Illegible Applications WILL NOT BE CONSIDERED)
All applications and submitted material must be postmarked or emailed by April 15
th
for upcoming academic year. All scholarships
are contingent on available funding. No scholarships are available for summer sessions. Students not awarded a scholarship this
academic year may apply again next year.
We must have a valid e-mail address for you and this application must be neatly printed or typed. Illegible applications will not
be processed.
NAME
Last First Middle
STUDENT ID#
HOME ADDRESS
Street Address
City State ZIP Code
_(_______)__________________________ ____(________)__________________________________
Home Phone Cell Phone
______________________________________________________________________________________
e-mail - Required
Classification: __________________________ Your Current Overall GPA ________________________
Last Semesters GPA: _____________________ Total Credit Hours Already Taken: __________________
Are You Still in University College: _________ University College Advisor: ________________________
Credit Hours Needed to Graduate: ____________ Anticipated Graduation Date: _______________________
Art Department Advisor: ______________________________
Have You Met With Your Advisor to Plan-Out Your Graduation Date: _________________________
Visual Art Concentration: Fine Arts Graphic Design Undecided
For which semester(s) are you seeking assistance? Semester Year 201
I have filled out all financial aid paperwork. YES NO
Have you ever applied for this scholarship before? YES NO
Were you awarded this scholarship? YES NO
Are you currently receiving any other scholarship(s)? YES NO
If so please list here: _______________________________________________________________________
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Form VACS (Continuing Student- Revised March 2015)
Have you ever lost a scholarship? YES NO
If so please explain:
(use attachment if needed)
Please list up to five Departmental Visual Arts activities, (exhibitions, workshops, arts festivals, conferences,
etc.) of which you have been a part this past academic year.
DATE ACTIVITY/EVENT LEVEL OF INVOLVEMENT
Please list any academic honors from the University/College/Department in the last year:
_______________________________________________________________________________________________
___________________________________________________________________________________________
Please list any extracurricular activities and awards (i.e., elected offices, clubs, athletics) community involvement and
employment over the last year:
___________________________________________________________________________________________
___________________________________________________________________________________________
A. I understand and agree that this scholarship requires that I maintain a
cumulative GPA of 2.75, or I may lose support if I do not maintain the Initial _____________
required GPA’s.
B. I understand and agree that this scholarship requires participation in at least
80% of ALL departmental sponsored art activity per semester (a) {happenings, Initial ______________
Gallery openings, lectures, field trips, etc.}, (b) complete at least 8 Visual Art
Event forms per year (c) participate in the annual student exhibition
or I may lose support.
C. I understand and agree that this scholarship requires that I join and actively
participate in the departmental Student Art Organization and I may lose Initial ______________
support if I do not fulfill the active participation requirement.
D. I understand and agree that this scholarship requires me to assist with ALL
functions/events sponsored by the Department’s Gallery Committee for the
duration of this scholarship. This requirement is varied as to the help performed; Initial ______________
from helping set-up exhibition, removing exhibition, with receptions’ publicity,
etc. Committee Chairman will oversee this help and sign off on this requirement.
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Form VACS (Continuing Student- Revised March 2015)
E. I understand and agree that this scholarship requires me to be enrolled full
time for the entire academic year at Alabama State University with a minimum
of 12 credit hours per semester. Of those 12 hours, a minimum of 6 must be Initial _____________
Visual Art classes offered by ASU. I must confer with the chair if situations arise
that prevent me from taking six (6) credits in art courses. If I can not meet this
requirement, this scholarship may be reduced or withdrawn.
F. I must notify the department immediately of any change in my enrollment status
to determine if that change would affect thisscholarship. Failure to notify the
department will result in an immediate forfit of the scholarship and bar applicant Initial _____________
from future consideration.
G. I understand and agree that my GPA will be checked each semester to ensure that the Initial ______________
minimum standard is met.
H. I understand and agree that at the end of each SEMESTER I will be evaluated by a Initial ______________
faculty committee to determine my continued eligibility.
I. I understand and agree that I might lose support if I am involved in activities that Initial ______________
conflict with the goals, ideals, rules, and regulations of Alabama State University
and/or the ASU Department of Visual Arts.
J. I understand and agree that I am not guaranteed to receive continued support if at Initial _____________
anytime I am in violation of any of the above agreements.
ADDITIONAL APPLICATION REQUIREMENTS
1. Please attach a typed statement (250-500 words) addressing why you want/need this scholarship. Include any
special financial circumstances you are currently facing. Attach the statement to your application form if you are
sending it via US Mail. If you send this application electronically, please send it as a PDF attachment. THIS
STATEMENT IS REQUIRED AND YOUR APPLICATION WILL NOT BE PROCESSED WITHOUT IT. If
sent electronically, you will be notified of receipt.
2. If you have been a major for more than one semester and have not been active in the Department, please provide
an explanation for your inactivity. Attach the statement to your application form if you are sending it via US
Mail. If you send this application electronically, please send it as a PDF attachment. THIS STATEMENT IS
REQUIRED AND YOUR APPLICATION WILL NOT BE PROCESSED WITHOUT IT. If sent electronically,
you will be notified of receipt.
3. Please supply three letter of recommendation for this scholarship. One letter should be from an Art Instructor
with the other two coming from outside the art classroom.
PORTFOLIO REQUIREMENTS
Applications will require an electronic portfolio. DO NOT submit original pieces as they will not be accepted.
Portfolio specifications are listed below. Please follow directions carefully. Applicants that do not include all required
information will not be considered for a scholarship this term, but can reapply at a later date.
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Form VACS (Continuing Student- Revised March 2015)
FORMAT:
No actual work is accepted. Submit
portfolio electronically or by mail on a
CD-ROM or jump drive by dates listed Power Point format for presentation
above.
All portfolios must be in PowerPoint
format. Individuals unable to submit
work in PP format must present saved
image and information in either PDF or
JPEG files with a file size no
large than 2.5 MB.
Include an inventory listing of works
in the order of appearance. (Form is
below).
Students portfolio may include both 2-D and 3-D work. 2-D work must be represented in one image (one extra
detail image is acceptable). 3-D work must be represented in two images (three extra detail images are
acceptable). Detail image must be noted in PowerPoint and on inventory list. Portfolio must consist of ten (10)
works created over the past twelve (12) months. Works can be projects from classes or work created on your
own. Please double check that your CD is readable. The Department will not contact students for
resubmission. CD’s will NOT be returned.
STATEMENT OF CONSENT
I, , do hereby give the Alabama State University Department of
Visual Arts my consent to secure and/or receive any information necessary and appertaining to the processing of this
scholarship application. This includes but is not limited to my academic records, financial aid records, and statements
(written and oral) concerning my status, activity, and matriculation at my high school, Alabama State University, and any
other colleges or universities I have attended. I shall hold blameless the ASU Department of Visual Arts, Alabama State
University, its employees, faculty members, etc. and understand that this application DOES NOT obligate the Visual Arts
Individual Scholarship Program nor any entity of Alabama State University to award me a scholarship in any amount nor
for any period of time. Any scholarship awarded is always contingent upon continued budget allocations.
Please DO NOT depend on this scholarship to fulfill your educational or personal financial obligations. Unless
and until you are notified in writing that you are a scholarship recipient, the ASU Department of Visual Art has,
nor implies any level of financial support to scholarship applicants.
I understand that if funds become unavailable through the Visual Arts Continuing Students Scholarship Program,
I will be notified immediately so that I can make other arrangements to cover my tuition and fees at Alabama
State University.
Once your application is received, consideration will be given in a timely fashion. You will be notified, in
writing, of your status within 6 to 8 weeks after the May 1
st
deadline and receipt of your completed application,
including all reference letters and the typed statement referred to above.
Prior to submitting this application, please review all items to insure accuracy. By signing below, you confirm
that the information included on this document and attached is true and accurate to the best of your knowledge.
Any false information will result in automatic denial of scholarship award and reporting to the appropriate
concerned parties.
I further understand and agree that if I fail to uphold my commitment in any area, I will be at risk of immediate
revocation of this scholarship award and, if warranted, will result in my ineligibility for future awards from this
scholarship Program
#1 Billy Student
“Perspective Study”
Graphite
12X14
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Form VACS (Continuing Student- Revised March 2015)
I further understand and agree that if I fail to uphold my commitment in any area, I will be at risk of immediate
revocation of this scholarship award and, if warranted, will result in my ineligibility for future awards from this
scholarship Program.
Prior to submitting this application, please review all items to insure accuracy. By signing below, you confirm
that the information included on this document and attached is true and accurate to the best of your knowledge.
Any false information will result in automatic denial of scholarship award and reporting to the appropriate
concerned parties.
Applicant’s Name (Print) Date
Applicant’s Signature Student ID# or Social Security #
Received by (Print) Date
Received by (Signature) Position (Chair/Faculty/Staff)
Submit Entire Packet to: Visual Arts Continuing Scholarship
c/o Mr. Stephen C. Cappelli, Dept. Chair
P.O. Box 271
Montgomery, AL 36101
Or email to scappelli@alasu.edu
Portfolio Inventory Form and Applicant Checklist are listed on the next two pages.
click to sign
signature
click to edit
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signature
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Form VACS (Continuing Student- Revised March 2015)
NAME: DATE:
INVENTORY FORM:
#
Title or description
Size
Type all information on this inventory form and included it with application
PLEASE TEST CD-ROMs BEFORE SUBMISSION
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Form VACS (Continuing Student- Revised March 2015)
CHECKLIST
All information is completely filled out: ________
All activities listed on second page is complete: ________
I have read each requirement closely on the second and third page and have initialed each: ________
I have included my typed statement either in hard copy or electronically: ________
I have included three letters of recommendation or made arrangements to have them sent: ________
I have included all information that is needed in my portfolio submission: ________
I have opened my portfolio CD or checked my files to make sure it opens and is readable: ________
I have filled out my portfolio inventory form completely: ________
I have read, completed and signed off on the statement of consent: ________
Application is postmarked or sent electronically by April 15
th
: ________