Need-Based WorkStudy Application

Youth Theatre Northwest firmly believes that all youth should experience the magic of live theatre.

WorkStudy Scholarships are:
• Confidential, and use the students' work to pay for tuition.
• Awarded to students whose parents will not or cannot pay YTN tuition, but who do not qualify for need-based scholarships.
• Available for ALL classes and productions.
• Available as long as funds are available.

The form MUST be signed by a parent or guardian to be accepted.

Date*

Date

Student Name*

First NameLast Name

Student Date of BIrth *

Student Email*

example@example.com

Student Phone Number

Area CodePhone Number

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Email*

example@example.com

What program(s) is your student interested in? *

Please list all programming you would like covered by WorkStudy

WORK STUDY PERCENTAGE OPTIONS

% of tuition covered with Work Study Program	% of tuition covered by Work Study hours	% of tuition covered by YTN	% of tuition paid by family
30%	15%	15%	70%
50%	25%	25%	50%
70%	35%	35%	30%
100%	50%	50%	0%

EXAMPLE BASED ON A $500 PROGRAM

% Covered with Work Study Program	Work Study hour requirements (based on $17.5/hour)	Tuition paid by family
30%	4 Hours	$350
50%	7 Hours	$250
70%	10 Hours	$150
100%	14 Hours	$0

YTN will ONLY match completed work-study hours. Any incomplete hours left by the end of the season will be owed financially by the family.

Hours must be completed within the season the application was submitted.

What percentage of tuition do you need Work Study to cover?*

30%50%70%100%

Anything you'd like to add?

THIS PORTION IS REQUIRED TO BE READ AND SIGNED BY THE STUDENT APPLYING FOR WORK STUDY HOURS:

By signing below, I understand that:

I will be participating in programs at Youth Theatre Northwest, a non-profit educational arts institution that requires tuition to maintain its programs.
If I am approved for YTN's Work Study program, I am responsible for completing my hours and will do so within the season.

Student Signature *

THIS PORTION IS REQUIRED TO BE READ AND SIGNED BY A PARENT OR GUARDIAN:

By signing below, I understand that:

My child will be participating in programs at Youth Theatre Northwest, a non-profit educational arts institution that requires tuition to maintain its programs.
My family does not qualify for a need-based scholarship, and I would like my child to be considered for a Work Study program.
If my student is approved for YTN's Work Study program and doesn't complete the hours necessary to fulfill this contract, I will pay Youth Theatre Northwest the remaining amount of tuition owed.

Parent/Guardian Signature*