ACTING CLASS SCHOLARSHIP APPLICATION (2017-2018)

THE MEDIA THEATRE

 2017-2018 ACTING SCHOLARSHIP APPLICATION

SCHOLARSHIP APPLICATIONS MAY BE SUBMITTED VIA EMAIL TO ROGER RICKER AT rer764@gmail.com

OR MAIL: THE MEDIA THEATRE, 104 E. STATE STREET, MEDIA, PA. 19063.

610-891-0100 | www.mediatheatre.org

Scholarships are awarded based on need and availability. Applicants from age 7 to 18 may apply.

 

PLEASE FILL OUT THE INFORMATION BELOW:

 

NAME OF APPLICANT

____________________________________________

 

APPLICANT’S PARENT’S NAME/ CONTACT

________________________________________________________

 

APPLICANT AGE

___________

 

APPLICANT GRADE IN SCHOOL

___________

 

ETHNICITY OF APPLICANT (FOR INTERNAL PURPOSES ONLY—WILL NOT AFFECT THE REWARDING OF SCHOLARSHIPS)

___________________________________

 

MAILING ADDRESS

______________________________________________

 

EMAIL ADDRESS OF PARENT CONTACT______________________________

 

PHONE NUMBER OF PARENT CONTACT______________________________

 

EMPLOYER OF PARENT CONTACT___________________________________

 

PHONE NUMBER OF EMPLOYER ____________________________________

 

NUMBER OF ADULTS IN HOUSEHOLD _______

 

NUMBER OF CHILDREN IN HOUSEHOLD _______

 

DOES THE APPLICANT HAVE ANY MEDICAL CONDITIONS, SPECIAL NEEDS, OR ALLERGIES WE NEED TO BE AWARE OF? IF YES, PLEASE EXPLAIN BELOW:

 

 

 

HAS THE APPLICANT PARTICIPATED IN THE MEDIA THEATRE’S EDUCATION PROGRAM PREVIOUSLY? __________________________

 

HAS THE APPLICANT RECEIVED A SCHOLARSHIP TO THE MEDIA THEATRE’S EDUCATION PROGRAM PREVIOUSLY? __________________

 

 

 

PLEASE EXPLAIN, IN AS MUCH DETAIL AS POSSIBLE, FINANCIAL CIRCUMSTANCES TO BE CONSIDERED BELOW:

 

 

 

 

 

 

 

Please Note:

Scholarship awardees may be asked to perform camp assistant responsibilities as a portion of their scholarship fulfillment.

 

Scholarship awardees will be expected to fulfill the dates and times of the camp/semester. Scholarships may be revoked if there is a failure to comply.

 

Those determined eligible will need to fulfill a live interview/ audition with The Media Theatre’s Artistic Director in order to receive the scholarship.

 

CANDIDATE,

PLEASE WRITE A BRIEF ESSAY ON WHY THE SCHOLARSHIP WOULD BE IMPORTANT TO YOU: