Personal Information of Student Requesting Scholarship







    Scholarship Quarter Request:

    Winter Quarter
    Spring Quarter
    Summer Quarter
    Fall Quarter

    Education Information








    Area of Emphasis(Check all that Apply)

    Art
    Theatre
    Dance
    TV/Film
    Music
    Communications
    Health & Wellness
    Science & Technology
    Library & Research
    Other

    CAA Applicant Status

    First-year CAA Student
    Returning CAA Students
    Graduate Studies Student

    Other Potential Sources of Funding

    San Andreas Regional Center or other State Regional Center
    Dept. of Rehabilitation
    SSI
    SSA
    Other



    Other Areas of Potential Support of Family/Networks/Care Providers:

    Volunteer at CAA Event
    Recruit for Monthly Tours
    Donate to Silent Auction
    Social Media Support
    Donate to Site Supplies
    Volunteer on Committee
    Recruit new potential students
    Circulate flyers in community
    Help coordinate fundraiser
    Other

    Checklist for Application Process:

    This complete application form, send to DeAnna Pursai, Executive Director, deanna@collegeofadaptivearts.org, Attn: Student Scholarship Application,or mail to College of Adaptive Arts, 1401 Parkmoor, Suite 260, San Jose,CA 95126.

    One page statement from students what they hope to achieve with their CAA education.

    Students may be asked to submit sample of artwork, video of performance, portfolio, etc.

    Transcripts, if accessible/applicable

    OUR SPONSORS

    Thank you to our sponsors!