Joe's Champagne Wishes - Wish Application for Visual Arts

Wishes

Apply for a JCW Wish!

Joe's Champagne Wishes NFP

Wish Award Application

Click the link below to DOWNLOAD the Wish Application

Complete the form and return via mail or email using the information below.

EMAIL:

Info@JoesChampagneWishes.org

U.S. MAIL:

9631 S Cicero Ave #1172, Oak Lawn IL 60453

If you need more information, feel free to call us at: 708-612-3800

Your Full Name*

Name of Person being recommended (if different)

Applicant's Address*

Applicant's Telephone*

Applicant's Email*

Applicant is 18 years or older*

Yes

If under 18, Parent/Guardian Name

If under 18, Parent/Guardian Telephone

If under 18, Parent Guardian Email

I am applying for*

JCW Wish to help pay for education in the Visual or Performing Arts

JCW Wish to help pay for equipment or supplies needed to pursue the Visual or Performing Arts

I am currently attending*

Grade School

High School

College

Current GPA*

Volunteer Experience*

Extracurricular Activities*

Why do you think you would be a good candidate for JCW to grant your wish? (50 words or less)*

If granted a wish, what would it be used for?*

What dollar amount would be needed to grant this wish?*

I attest that all of the information on this application is true*

Yes

NOTICE: False information on this application can result in forfeiture of the wish.

Complete the form below, then click "SUBMIT".