Arts + Health Symposium Scholarship Interest Form

The Arts + Health Symposium gathers arts leaders and healthcare professionals to share knowledge on pressing topics and present actionable data on the relationship between the arts and health. By completing this scholarship form, you will be considered for the opportunity to receive complimentary event tickets. This scholarship covers the cost of the event and meals. Accommodation and travel expenses are the responsibility of the attendee. Scholarships are limited. Limit one scholarship per organization.

Name

First

Last

Phone

Workplace/Organization Name:

Job Title:

How did you hear about the Arts + Health Symposium?

Were you interested in attending the Arts + Health Symposium prior to learning about the scholarship?

Yes

What interests you about the Arts + Health Symposium?

After attending the Arts + Health Symposium, what will you do with the information you learned? (250 words or less)

Are you a Community Arts Training (CAT) Institute alum?

Yes

Comments/Questions:

If you are human, leave this field blank.