CHIPOLA COLLEGE
THEATRE SCHOLARSHIP APPLICATION AND REGISTRATION FOR SCHOLARSHIP AUDITIONS
Full Name Address City State Zip Phone Cell Phone E-Mail Address Social Security # Date of Birth Do You Have A High School Diploma? Yes No If Yes, Where From: City State Zip Colleges Attended and Year Current GPA Check appropriate category High School Senior College Transfer Name of School I will audition on February 26, 2009March 24, 2009April 23, 2009 SAT score ACT score I wish to be considered in the following area(s) Performance Production Both Are you employed now/will you need to work while at Chipola? Yes No Have you applied for any type of Financial Aid? Yes No If so, explain: In addition to this form, please complete a Foundation Scholarship Application Form. Back to Theatre Scholarship Homepage Theatre Scholarship Application Fine and Performing Arts Homepage
Full Name
Address
City State Zip
Phone Cell Phone
E-Mail Address
Social Security # Date of Birth
Do You Have A High School Diploma? Yes No
If Yes, Where From:
Colleges Attended and Year
Current GPA
Check appropriate category High School Senior College Transfer
Name of School
I will audition on February 26, 2009March 24, 2009April 23, 2009
SAT score ACT score
I wish to be considered in the following area(s)
Performance Production Both
Are you employed now/will you need to work while at Chipola? Yes No
Have you applied for any type of Financial Aid? Yes No
If so, explain:
In addition to this form, please complete a Foundation Scholarship Application Form.
Back to Theatre Scholarship Homepage
Theatre Scholarship Application
Fine and Performing Arts Homepage
