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–
Step
1
of 6
SECTION 1: Applicant Information
Name
*
First
Last
Select Your Core Program
*
— Select Choice —
Drawing and Painting
Sculpture
What year are you entering this fall?
First Year Core
Second Year Core
Third Year Core
Fourth Year Core
Select your year from drop down menu.
Date of Birth
*
Permanent Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Check if same as local address
Local Address
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Mobile Number
*
Email
*
Next
SECTION 2: Demographic Information
The following questions are optional and are requested to support equitable access to scholarships and grants. This information may be used for reporting or donor purposes, but it will not impact your eligibility for financial aid. Specific scholarships that may take my self-identified background, including religious affiliation, into account.
I would like to be considered for donor-specific funds
Yes
No
Prefer not to answer
I would like to be considered for donor-specific scholarships that may take my self-identified background, including religious affiliation, into account.
Do you consider yourself a member of a minority group?
Yes
No
Prefer not to answer
Definition of Minority: For the purposes of scholarship eligibility, “minority” may include—but is not limited to—individuals who identify as Black or African American, Hispanic or Latino, Native American or Alaska Native, Asian American or Pacific Islander, and multiracial individuals. It may also include individuals who are underrepresented in higher education or the arts due to race, ethnicity, nationality, socioeconomic background, disability, gender identity, sexual orientation, or religious affiliation. In some cases, specific donor-directed funds may prioritize applicants from particular backgrounds, including underrepresented religious communities, to align with the stated intent of the fund.
Race (Select all that apply):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other
Ethnicity (Select one)
Hispanic or Latino
Not Hispanic or Latino
Are you a veteran?
Yes
No
Do you live with a disability?
Yes
No
Were you born outside the US?
Yes
No
If yes…where?
Next
SECTION 3: Work-study Interest
Would you like to be considered for work study opportunities?
Yes
No
If yes, please select areas of interest (check all that apply):
Studio Monitor
Studio Cleaner
Gallery Sitter volunteer position
Open Studio Monitor volunteer position
For more details on these positions, see the student handbook.
If yes, please select areas of interest (check all that apply):
Studio Monitor
Social Media Assistant
Model Coordinator
Studio Cleaner
Gallery Sitter volunteer position
Art Store
Facilities
Summer Facilities
Administration
Youth Program
Youth Program Instructor
Open Studio Monitor volunteer position
Studio Monitor
Workshops
For more details on these positions, see the student handbook.
Next
SECTION 4: Financial Information
Instructions: Providing financial information, such as a copy of your most recent tax return, is optional. However, in order to be considered for financial assistance, submission of this information is required. Applications without supporting financial documentation will not be eligible for aid. All financial information submitted will be kept confidential and handled in accordance with the Academy’s record-keeping and privacy policies. Relevant information may be shared with institutional staff for award decisions and may be included in donor reports when required by the terms of specific scholarships or grants.
Consent to Use Financial Information
I consent to the use of my financial information for award determination and reporting.
I am under 18 and will submit a Parent/Guardian Consent Form.
Section Divider
Annual Adjusted Gross Income (2024):
Enter your Adjusted Gross Income. Do not include the dollar sign (no $)
Can your parents, or anyone else, claim you as a dependent?
Yes
No
Receiving government assistance (SNAP, TANF, etc)?
Yes
No
Number of dependents on your tax return:
Current student loan obligations?
Yes
No
What is your expected household contribution?
Upload most recent tax return:
Click or drag a file to this area to upload.
Upload this as a PDF preferred.
Are there any special financial circumstances affecting your situation that we should be aware of?
Next
SECTION 5: Short Answer Questions
Please answer the following questions, in 200 words or less each.
How would receiving financial assistance impact your ability to attend Lyme Academy?
Enter your answer
What other resources are you relying on to support your education?
Enter your answer
Are there any additional comments or additional information you would like the academy to know?
Next
SECTION 6: Certification and Signature
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statements may disqualify me from financial assistance.
Your Signature
*
Clear Signature
interest Race 2:
Date Signed
*
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About Us
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Old Lyme Artist Colony
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Visit
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Subscribe
Education
Core Drawing & Painting
Core Sculpture
Continuing Education
Workshops
Youth Programs
Open Studios
Figure Drawing
Printmaking
Events
Exhibitions
Competitions
Lectures
Calendar
Support
Opportunities
Store