TWIN LAKES PLAYHOUSE SCHOLARSHIP APPLICATION
FOR THE PERFORMING ARTS
This application is for high school graduating seniors who are planning to pursue a degree in some aspect of the performing arts at an accredited school, as well as college students continuing an undergraduate performing arts education.
DEADLINE: This application must be completed and returned along with a high school or college transcript by June 1, 2008 to: Shirley Spitzer, 606 Ridgewood Drive, Mountain Home, AR 72653
Name:_____________________________________________________________
Address: __________________________________________________________
Telephone No.:______________________ Email Address____________________
What school do you plan to attend?______________________________________
____________________________________________________________________
Have you been accepted?_______________________________________________
Telephone number of school:____________________________________________
1. On a separate sheet of paper, please write a few paragraphs describing A) your future educational plans, B) the influential factors in your decision to further your education in the performing arts and C) your future career goals in the performing arts.
2. College entrance examination score (if applicable): ACT composite score______ or SAT combined score_____
3. Cumulative grade point average (GPA).__________________________________________
4. In what aspect of the performing arts do you plan to get your degree?_________________
5. In what performing arts have you been involved, such as choir, band, debate, etc._______
_________________________________________________________________________
6. In what theater activities have you been involved, such as acting, stage crew, set design, etc.?
Please be thorough. Use extra paper if needed_______________________________
______________________________________________________________________
______________________________________________________________________
_______________________________________________________________________
______________________________________________________________________
_______________________________________________________________________
7. Financial need: In the space provided please indicate your family's adjusted gross income from
last year's tax return
______ Under $15,000 ______ $30,000 to $35,000
______ $15,000 to $20,000 ______ $35,000 to $50,000
______ $20,000 to $25,000 ______ $50,000 to $60,000
______ $25,000 to $30,000 ______ over $60,000
8. Number of dependents in your family including yourself._____________________
9. Children:_________ Ages:_____________ No. attending college:_____________
10. Other financial considerations which need to be noted:_____________________
_____________________________________________________________________
____________________________________________________________________
a. Will your family or some person be able to assist you with school expenses?
Completely: Yes______ No______ Partially: Yes______ No______
b. How do you intend to supplement your income for school expenses?________
___________________________________________________________________
c. Other scholarships you are receiving this school year:____________________
__________________________________________________________________
11. Extracurricular activities - organizations and clubs. Show years of involvement and indicate any
offices held. ( Use extra paper if needed.)_________________________________
____________________________________________________________________
__________________________________________________________________
12. Honors and awards:_______________________________________________
_______________________________________________________________________
13. Community or other activities:___________________________________________
_______________________________________________________________________
14. Work activities: Are you currently employed? Yes___ No___. If yes, what type of work are you doing and how many hours per week are you working?_________________________________
__________________________________________________________________________
15. Describe your other work and family activities or responsibilities. (Such as family farm, helping at home or family business.) ____________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
16. Please include the names, addresses, and phone numbers of two references, other than relatives, you have known for at least two years:
______________________________________________________________________
______________________________________________________________________
Applicant Signature_____________________________________________________
Parent or Guardian Signature_____________________________________________
THIS AWARD MUST BE RETURNED TO THE TWIN LAKES PLAYHOUSE IF THE STUDENT DOES NOT COMPLETE AT LEAST ONE YEAR OF ACADEMIC WORK IN THE PERFORMING ARTS FIELD AFTER THE AWARD HAS BEEN GRANTED.