School of the Art Institute of Chicago
Continuing Studies
36 South Wabash Avenue, suite 1201
Chicago, IL 60603
Email: cs@saic.edu
Phone: 312.629.6170 Fax: 312.629.6171
THE MADELEINE STANLEY-JOSSEM SCHOLARSHIP
MADELEINE STANLEY-JOSSEM SCHOLARSHIP APPLICATION FORM
Year: 20
Year: 20
Fall
Fall
Spring
Spring
Parent’s signature (parent/legal guardian must sign if the student is under 18 years of age)
Date
X
CONTACT INFORMATION (PLEASE COMPLETE ALL FIELDS AND PRINT CLEARLY)
Address
Apartment
City
Date of Birth (MM/DD/YYYY)
State
Zip Code
Primary Email Address Secondary Email Address
Last Name First Name Preferred Name MI ID # (if returning)
Primary Phone: Secondary Phone:
Mobile
Mobile
Home
Home
Work
Work
Total Number in Household for Current Academic Year: Number of Students in College for Current Academic Year:
ADDITIONAL INFORMATION
Madeleine Stanley-Jossem was born in 1908 in Sarre-Union, a small village in the Alsace region of France. A sculptor, painter, writer, teacher, and
spiritual guide, her works of art are in museums and private collections throughout North and South America and Europe. In 1984, Madeleine
Stanley-Jossem relocated to Chicago and began a long-standing and fulfilling relationship with Continuing Studies at the School of the Art
Institute of Chicago, where she taught oil painting and sumi-e, the art of Japanese brush painting. In 1996, the French government awarded her
Le Chevalier dans l’orde des Arts et Lettres for her contribution as an artist. She maintained her love of art and teaching until her death at the age
of 91.
The Madeleine Stanley-Jossem Scholarship is a need- and merit-based fund that will benefit one Adult Continuing Education student each fall
and spring semester. The scholarship will cover 100% tuition for one ten-week course.
APPLICATION REQUIREMENTS:
1. Five images of your most recent art or design work. Portfolio submissions must be submitted via SlideRoom. Create a SlideRoom
account at saicscholarships.slideroom.com, load images into the ACE Madeleine Stanley-Jossem Scholarship Application
category.
2. Completed Adult Continuing Education (ACE) Non-Credit Registration Form.
The Adult Continuing Education registration form can be found here.
3. Completed the Madeleine Stanley-Jossem Scholarship Application Form.
4. Financial documentation—a copy of Form 1040 from the most recent tax return (the first two pages). If you are unable to submit
these documents, please contact us at cs@saic.edu.
*Original work will not be accepted with applications.
MAIL OR DELIVER MATERIALS TO:
Continuing Studies
School of the Art Institute of Chicago
36 S Wabash Ave, suite 1201
Chicago, IL 60603
The information reported in this application is true and correct to the best of my knowledge.
click to sign
signature
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