Wise County Art Association, Inc.                                     2012 Scholarship Application                                                                       Application Requirements 1.  You must be a resident of Wise County or attend a Wise County public or private school.  Home schooled students must   be a resident of Wise County. 2.  You must be a graduating senior. 3.  The application form must be filled out completely and be signed by both the student and their parent or guardian. 4.  Applicant must provide two letters of recommendation; one must be from a supervisor, faculty member of other individual   knowledgeable with the applicant's qualifications.  Family members are ineligible. 5.  Applicant must submit two photos of artwork completed by them within the past year.                                                                          Applicant Information Last Name________________________________________ First Name________________________________________ Address___________________________________________________________________________________________ City___________________________________ State________________________ Zip Code______________________ Email_____________________________________________________________________________________________ Telephone number__________________________________ Cell Phone_______________________________________ Date of Birth__________________________________  Age_________________          Gender (    ) Male   (    ) Female School from which you will graduate _____________________________________________________________________ Grade Point Average ________________________________________________________________________________ College or Trade School you will attend __________________________________________________________________ Career Field of Interest _______________________________________________________________________________ Adjusted Gross Income of Parent(s)/Guardian(s) from IRS 1040: (    ) Under $30,000                              (    ) $31,000 to $50,000                          (    ) $51,000 to $75,000 (    ) $76,000 to $100,000                     (    ) Over $100,000        Accomplishment, Awards, Memberships (Attach additional page, if needed) ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________                                                       Attach a brief essay, entitled "Art In My Life"      ________________________________________________________________________________________________ ________________________________________________________________________________________________ Applicant Signature______________________________________ Date_______________________________________ Parent/Guardian Signature ___________________________________________________________________________ Applications must be received by the Wise County Art Association, Inc. no later than April 1, 2012. Mail completed application to:                                                                 Wise County Art Association, Inc.                                                                          c/o Melanie Singleton                                                                                 603 Halsell St.                                                                          Bridgeport, TX  76426