Eligibility for Reduced Fees Application Form

Miano Academy of Art – Atelier Miano Live Program

Thank you for your interest in Atelier Miano Live.
We strive to make art education accessible to a diverse range of students.
If you meet the criteria for reduced fees due to low income or reside outside the USA, please complete this application form.

Eligibility Criteria

Low-income status (proof required: tax returns, income statements, etc.)
Residency outside the USA (proof of address required)

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

MM

DD

YYYY

Country of Residence:

Website

http://

Intended Start Date

MM

DD

YYYY

Previous Education/ Art Training

Include School name, Dates attended, Degree or Certification completed.

Other Accomplishments - Shows/Awards - Fun Facts!

Are you applying for reduced fees due to low income?

Yes

No

Are you applying for reduced fees due to residency outside the USA?

Yes

No

Total Annual Household Income (in USD)

Number of Dependents in Household

5. Have you applied for or received any financial assistance from other organizations for art education?

If Yes, answer the next question

Yes

No

Specify other financial aid that you have applied to and/or receiving.

I Agree

I certify that the information provided in this form is true and accurate to the best of my knowledge. I understand that providing false information may result in my application being disqualified.

I Agree

Eligibility for Reduced Fees Application Form

Miano Academy of Art – Atelier Miano Live Program

Eligibility Criteria

WE THANK YOU!