Fill - Free fillable Department of Visual Arts Incoming Scholarship (Alabama State University) PDF form

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Form VAIS (Revised – Fresh/Trans Spring 2015)

Department of Visual Arts Incoming Scholarship

Administered through Alabama State University Department of Visual Arts

APPLICATION FORM – Incoming Freshmen/Transfer 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 awarded only when funds are available. No scholarships are available for summer sessions. Students not awarded an incoming

scholarship may apply for the continuing student scholarship next academic 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. Incoming freshmen must also provide a copy of either their ACT or SAT test scores. Transfer students must provide

a copy of all previous transcripts.

NAME

Last First Middle

HAVE YOU ALREADY APPLIED TO ASU? YES NO

HAVE YOU BEEN ACCEPTED? YES NO PENDING

No scholarships will be awarded to students if they have not been accepted. If you have applied and have not yet been accepted,

please notify this office immediately upon receiving written notification of your acceptance.

STUDENT ID# (If already admitted Alabama State)

SOCIAL SECURITY# (If not enrolled at ASU)

HOME ADDRESS

Street Address

City State ZIP Code

_____________________________________(____)_____________________(_____)________________

E-mail - Required Home Phone Cell Phone

HIGH SCHOOL/

(Jr. or Community Name of School/Jr. College Year Graduated or Will Finish

College)

City State

Major Art Concentration in High School Program (if applicable)

(You may indicate Advanced Degree, Specialized Tracks, etc. For junior college or tech transfers, indicate program of study)

Desired Visual Art Concentration Fine Arts Graphic Design

Your current GPA (High School or Transfer) (HS) ________________ (TR) _________________

For which semester(s) are you seeking assistance? FALL SPRING BOTH Year 201

I have filled out all financial aid paperwork. YES NO

Are you currently receiving any other scholarship(s)? YES NO

If so please list here: ________________________________________________________________________

Have you been offered any other Art Scholarship for the upcoming year? YES NO

If so please list here: ________________________________________________________________________

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Form VAIS (Revised – Fresh/Trans Spring 2015)

Have you ever lost a scholarship? YES NO

If so please explain: _________________________________________________________________________

(use attachment if needed)

Please list up to five Visual Arts activities, exhibitions, workshops, arts festivals, conferences, etc. of which you

have been a part and the responsibilities you held. This list may include high school, summer camps, or college

activities. You may also include activities in which you are currently involved. IN LIEU OF THIS LIST, YOU

MAY ATTACH A RESUME.

DATE (Semester/Year) ACTIVITY/EVENT LEVEL OF INVOLVEMENT

Please list any academic honors from high school or college in the last year:

_________________________________________________________________________________________________

__________________________________________________________________________________________________

Please list any extracurricular activities and awards (i.e., elected offices, clubs, athletics) community involvement and

employment over the last two years: (Attach separate list if needed)

__________________________________________________________________________________________________

AGREEMENTS:

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 VAIS (Revised – Fresh/Trans Spring 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 include 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. 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 next academic year using the continuing

student application.

FORMAT:

 No actual work is accepted. Submit

portfolio electronically or by mail on a

CD-ROM or jump drive by date listed

PowerPoint Example

above.

 All portfolios must be in PowerPoint

format. Individuals unable to submit

work in PP must present saved image

#1 Billy Student

“Perspective Study”

Graphite

12X14

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Form VAIS (Revised – Fresh/Trans Spring 2015)

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

on last page).

Student 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 (two extra detail images are

acceptable). Detail image must be noted in presentation 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 electronic file can be opened and/or 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 and

performance of student.

 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, and funds have been deposited into your

student account, the ASU Department of Visual Art has not, nor implies any level of financial support to

scholarship applicants.

 I understand that if funds become unavailable through the Visual Arts Freshman/Transfer Scholarship Program, I

will be notified 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 10 weeks of 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

 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.

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Form VAIS (Revised – Fresh/Trans Spring 2015)

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

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signature

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Form VAIS (Revised – Fresh/Trans Spring 2015)

NAME: DATE:

INVENTORY FORM:

#

Title or description

Medium

Size

Type all information on this inventory form and included it with application

PLEASE TEST CD-ROMs BEFORE SUBMISSION

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Form VAIS (Revised – Fresh/Trans Spring 2015)

CHECKLIST

All information on first page is complete: ________

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

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: ________

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