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Theatre Scholarship Application and Registration for Scholarship Auditions

(at this time we are only accepting applicants from the United States)
Full Name:
City: State Zip
Phone: Cell Phone
E-Mail Address
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 20, 2014  March 13, 2014  April 24, 2014  May 8, 2014
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:

Briefly list any previous employment experience:

What other outside activities or groups do you participate in?

List any honors or awards you have received:

In addition to this form, please complete a Foundation Scholarship Application Form...  


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Member of The Florida College System 3094 Indian Circle | Marianna, FL 32446 | Phone: (850) 526-2761 | Email Us