Office of Cultural Education

Cultural Education

New York State Archives, Library, Museum and Public Broadcasting


2023 Scholarship Application Form

Student Information
Date of Birth: (mm/dd/yyyy)
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Student's E-mail:
Parent/Guardian's Information
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Check this box if Student Address and Parent Address are the same.
I, the parent/guardian of the above named student, consent to the release of the information on this application to the Empire State Summer Arts Scholarship Program. I authorize the Empire State Summer Arts Scholarship Program to use my student's name in association with any news releases, and permit the use of any photographs, digital images or videos taken during the audition for publicity or documentation purposes.
School Information
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