Scholarship Form
Participants Name
*
First Name
Last Name
Parent/Guardian's Name
*
First Name
Last Name
Parent/Guardian's Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian's Phone Number
*
Please enter a valid phone number.
Last years total family income:
*
How many people live in your home?
*
Are you requesting a:
*
Full Scholarship
Partial Scholarship
Have you ever received a StageCenter Scholarship before?
*
Yes
No
If so, when?
Is the participant dependent on this scholarship to participate in this Production?
*
Yes
No
Submit
Should be Empty: