Entry Form John F. and Anna Lee Stacey Scholarship Fund for Art Education Post Title First Name*Last Name*Street Address*City*State*Zip Code*Daytime Phone*Email* Date of Birth* Month Day Year Are you a citizen of the United States of America?*According to the wishes of the benefactors who established the scholarship, a recipient must be a U.S. citizen.Personal StatementPersonal statement outlining ambitions, plans, and objectives. Plans and ObjectivesIf chosen, how do you intend to use these funds and where do you wish to study or work?General EducationProfessional ExperienceList professional experience (if any) as it relates to the purpose of this scholarship.What are your career goals?How much of your time do you devote to your artistic pursuit on a weekly basis?How many works of art are you submitting?*Number of Works456Please submit between 4 and 6 images representing the best examples of your work Depending on your network speed, uploading the images may take a while. Please be patient. Images cannot exceed 3MB in size.Artwork 1You may upload between 4 and 6 works of art.Artwork 1 TitleArtwork 1 Image*Accepted file types: jpg, jpeg, png, gif.Upload Image of Artwork 1 - Images cannot be larger than 3MBArtwork 2Artwork 2 TitleArtwork 2 Image*Accepted file types: jpg, jpeg, png, gif.Artwork 3Artwork 3 TitleArtwork 3 Image*Accepted file types: jpg, jpeg, png, gif.Artwork 4Artwork 4 TitleArtwork 4 Image*Accepted file types: jpg, jpeg, png, gif.Artwork 5Artwork 5 TitleArtwork 5 Image*Accepted file types: jpg, jpeg, png, gif.Artwork 6Artwork 6 ImageArtwork 6 Image*Accepted file types: jpg, jpeg, png, gif. Review Your Information If everything looks okay, hit Submit at the bottom of the page {all_fields} Δ