Request for Joslyn Art Museum Art Class Scholarship
Thanks to special funds established by Mrs. Louise Wickstrom, the family of David S. and Bella Block, and the Joslyn Art Museum Association, financial assistance may be available for art class enrollment. If participation in our programs is dependent upon scholarship assistance, please complete the following form.

Please submit scholarship requests four weeks prior to the start date of the class and make sure the class is not sold out. All requests will be responded to by mail and will be held in confidence. If you have any questions, please call the Programs Assistant at (402) 661-3846.

Scholarship recipients are asked to send a thank you note to Joslyn’s Studio Assistant. Thank you notes are forwarded to the Museum’s scholarship donors to express appreciation for their generous support.
*Student First Name:
*Student Last Name:
*Student Date of Birth:
*Today's Date:
Name of adult (if student is a minor):
His or her relationship to you:
*Address:
*City:
*State:
*Zip Code:
*Phone:
*Email:
Please list any allergies or other health considerations:
*Number of providers in household:
*Number of dependents in household:
*Title of the class the student would like to attend (please check the classes page to make sure the class isn't sold out):
*Please describe any special circumstances that make scholarship assistance necessary, and please include why the student is interested in taking an art class at Joslyn: