2020 OREGON CONSERVATORY OF PERFORMING ARTS Scholarship Application

OREGON CONSERVATORY OF PERFORMING ARTS
SCHOLARSHIP APPLICATION
When funds are available, we make need-based scholarships available to students who would not otherwise be able to participate inour program. In order to qualify, you must have a desire to learn about and take part in all aspects of theatre, and you must attendeach day of the workshop, class or camp and performances. Application must be filled out full and accurately for your request to beconsidered.
Student's Full Name

First NameLast Name
Birthdate

MonthDayYear
Gender
Student Medical Issues and/or notes
School
Current Grade
GPA
Parent/Guardian

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Work

Area CodePhone Number
Employer of Parent/Guardian
Gross Monthly Income for entire household (before taxes and deductions)
Include and identify all sources of income, including alimony or child support, veterans or social security benefits, unemployment or workers’ compensation, and federal or state aid. (Itemize if necessary)
Number of people in household living on above income
Is student currently enrolled in the free or reduced lunch program in an Oregon public school?
Require Supplements:

1. Letter of recommendation from student’s teacher, principal, counselor or other adult educational mentor.

2. Statement from the student, indicating his or her desire to participate in OCPA’s programs.

3. Proof of Financial Eligibility: either a copy of the Reduced/Free School Lunch Letter; or a recent paystub.
Letter of Recommendation

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Student Statement of Intent

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Proof of Financial Eligibility

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Which camp are you wanting to attend?
Do you have special circumstances that make it impossible to pay the full tuition for the program? Please explain.
How much do you feel you can contribute towards tuition?
Can you contribute in any other way?
My signature verifies the statements are true.
Parent/Guardian Signature
Date

MonthDayYear
PLEASE SUBMIT THIS SCHOLARSHIP APPLICATION WITH A NON-REFUNDABLE DEPOSIT (PAYABLE BELOW)

THANK YOU!
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Deposit Only (Scholarship Application)$50.00
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OREGON CONSERVATORY OF PERFORMING ARTS

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