Scholarship

Actors Community Theatre, Inc. Scholarship Application

This scholarship is an annual non-renewable scholarship given by Actors Community Theatre, Inc. (ACT) for students currently enrolled in high school or college in the amount of $500. Only one scholarship will be given each year. Applicants should have the following qualifications:

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· Have participated in at least three ACT productions

· Have current GPA of 3.2 or higher

· Intent to attend college (Proof of enrollment is required before monetary award)

Please mail the completed application postmarked by July 8, 2022 to:

Actors Community Theatre
PO Box 603
Jasper, IN 47546-0603

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– OR –

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Fill out the form below by July 9, 2023

 

Application Form

1. Name * 

2. Address * 

3. Cell or Home Phone Number * 

4. Email * 

5. GenderMaleFemaleNon-binaryPrefer to not be askedSomething not listed above:

6. Parent/Guardian Name * 

7. Parent/Guardian Address * 

8. Name of School Currently Attending * 

9. Current GPA * 

10. Extra-curricular activities in which you have participated (clubs, sports, etc.) (list most recent first) * 

11. Volunteer activities in which you have participated (list most recent first) * 

12. College you plan to attend/are attending * 

13. Major/Minor * 

14. Please list all shows produced by Actors Community Theatre in which you participated * 

15. List all other artistic and musical activities in which you have participated * 

16. What has ACT or the arts done for you and how will these experiences help you in the future? * 

17. Please attach two reference letters from teachers or administrators 

18. Guidance Counselor Name * 

19. By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application. *