2023 Young Actors Scholarship
Applicants Name
*
First Name
Last Name
Email
*
example@example.com
Pronouns
*
Date of birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Parent or Guardian
*
First Name
Last Name
Social Media
*
Agent
*
Selftape and/or showreel
*
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Choose a file
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of
Headshot
*
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Upload roughly a one-two minute chat to camera (selfie style is fine) explaining what winning this scholarship would mean to you?
*
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How did you hear about us?
*
Please Select
Backstage
Star Now
Social Media
Website
Internet search
Word of mouth
Marketing Permissions
*
Email
Direct Mail
Customized Online Advertising
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