Name *

First Name

Last Name

Birth date

MM

DD

YYYY

Phone *

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###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender

Male

Female

Non-binary

Are you a US Citizen?

Yes

No

Please check your veteran status

Veteran

Grandchild of a Veteran

Spouse of a Veteran

None of the Above

Are you a first generation college student?

Yes, I am the first among my parents or grandparents to attend college.

No, either my parents or grandparents have attended college

Have you submitted an application for admission?

Yes

No

Phone *

(###)

###

####

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date Graduated

MM

DD

YYYY

Scholarship level applying for

Partial Scholarship

Full Scholarship

Do you have a disability?

Yes

No

Are you a GED recipient?

Yes

No

Were you born outside the USA?

Yes

No

Were your parents born outside the USA?

Yes

No

In addition to a scholarship, would you like to be considered for our work exchange program (working part-time for tuition support with Alchemy Tattoo Collective)?

Yes

No

Will you be working while attending Alchemy Tattoo Apprenticeship?

Yes

No

If so, will you work

Full-time

Part-time

E-Sign *

By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

First Name

Last Name