Mary June Impson Scholarship Fund Application

You do not need to be a member of the Visual Arts Society of Texas.

Date ________________

VAST Workshop

Judy McCombs, Pastel Workshop, July 10-12, 2006

Name of Applicant______________________________________________________________

Home Phone_____________________ Cell Phone ____________________________

Local Address  Street______________________________City____________State______Zip_______

School where currently enrolled______________________________________________

Street _____________________________ City____________ State______ Zip______

High School Student Level_______________

College Student Level ___________________

Full-time Student ___________Part-time Student ____________

Teacher Reference Name________________________________ Phone __________

____Describe in 100-150 words why you would like to take this workshop.

(Attach essay)

____Include a one-page resume.

Complete and return this form along with your attachments to VAST, P.O. Box 1281, Denton, TX 76202. You will be notified in writing of the determination of the scholarship committee one month prior to the workshop. For more information contact:
Jo Williams
940-383-1092
texjo@msn.com