Academy of LVA Senior Survey /Award Eligibility Form Part 1 of 2

Please respond to the prompts thoughtfully and completely. Award recipients will be determined through review of survey responses and student portfolios. We want to know all of your accomplishments and plans! Once you click Submit, you’ll be taken to a page where you can opt to be considered for an LVA Senior Award by providing additional materials. Completing this survey is step one to be eligible for an award from LVA.

Student Name

First Name

Last Name

Student Email

Parent Email

For how many years have you taken classes with LVA?

Enter a number.

What classes have you taken? (Please indicate teachers & locations if possible.)

Please list any awards, honors, and/or scholarships you have received during high school (i.e scholastics awards, superlatives etc).

Please list any after-school, summer, or extracurricular programs/activites/sports you have been involved with in addition to LVA art education.

Please list the colleges you have applied to or will apply to, placing an asterisk after the names of any to which you have been accepted.

You may enter "N/A" if you have not applied to college.

What is your intended major?

You may enter "undecided," if appropriate.

Please list any post-secondary scholarships or financial aid you have recieved.

You may enter "N/A."

Please share any additional information you feeI we should know, such as: volunteer work / paid employment / significant travel / Honors/Advanced Placement courses / other selective academic programs such as GSA, etc.

You may enter "N/A."

Please indicate any favorite class(es) you've taken with CFAC or The Academy of LVA, and why they were memorable.

Please tell us about any LVA teacher(s) who went above and beyond for you, and what their lasting positive impact was.

How has being in classes with LVA made a difference in your life?

Please select the response that best captures your attitude w/r/t the following statement: "I would be highly likely to recommend LVA's youth art eduation program to others"

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

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LOUISVILLE VISUAL ART