Financial Support Application

Financial Support Application
Little Blue Theatre Company is committed to ensuring that cost is never a barrier to participation. We believe every young person deserves access to high-quality, inclusive theatre—no matter a family’s financial situation.

To help us determine assistance levels, we collect information about your household income using either your Adjusted Gross Income (AGI) from your most recent tax return or alternate documentation that reflects your current financial situation. All information you provide is confidential and used solely for evaluating your application.

We review every request using the ALICE (Asset Limited, Income Constrained, Employed) guidelines, which take into account both household size and the real cost-of-living pressures faced by families in our community.

This application covers both tickets and camps.
If you do not need camp assistance, please do not fill out the form further down on this page.
Grown-Up Information
Name*

First NameLast Name
Gender*
Male, Female, Non-Binary, etc
Address*

Street Address

County

CityState

Zip Code
Date of Birth*

MonthDayYear
Phone Number*
Ex. 615-555-5103Format: (000) 000-0000.
Email*
example@example.com
I'm interested in:*

Tickets OnlyCamp/Classes OnlyBoth!
Please make a brief statement describing why you are requesting support.

Financial Information
The amount of assistance is based off a rolling tier. Utilizing the ALICE tools, Little Blue will determine whether your family is eligible to recieve:
A 100% scholarship and ticket subsidy (Poverty Level)
A 75% scholarship and ticket subsidy (ALICE)
Or a 50% scholarship and ticket subsidy (Above ALICE Threshold).

The items listed below are to be transferred from your 1040: (Includes spouse's information is applicable).
Number of Dependents*
Line 6C on 1040, Line 5on 1040 EZ or Line 6C on 1040A.
Adjusted Gross Income*
Line 37 on 1040, Line 4 on 1040 EZ or Line 21 on 1040 A.
Total Income*
Line 22 on 1040 or Line 15 on 1040 A.
Please upload a copy of your most recent 1040, 1040 EZ, or 1040 A. Please redact your social security number.*

Please submit documents in .PDF, .JPEG, or .PNG format.
Cancelof
List Special Circumstances (If Any)
By typing my full legal name below, I contest that I have filled this form out truthfully and to the best of my ability. I understand this serves as my electronic signature.
If you are applying for a camp, please fill out the form below for each student in your family. The scholarship level your family receives from this form will also apply to your child(ren)'s camp fees.
Please Note: Financial assistance is not guaranteed. It will be determined based on the viability of your application. Assistance will be given based on the availability of funds and level of need.

This application is confidential. Any information shared will be used only for internal review, grant reporting, or evaluation purposes, and identifying details will not be disclosed.

We will notify applicants of their scholarship level within one week of submitting this form.

Your familiy's scholarship level will apply for a full year (resets on September 1st).
Should be Empty:

Financial Support Application

Grown-Up Information

Financial Information

If you are applying for a camp, please fill out the form below for each student in your family. The scholarship level your family receives from this form will also apply to your child(ren)'s camp fees.