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PART 1: APPLICATION

Student First Name *

Student Last Name *

Program Applying For *

If Stage School, please list specific classes:

Student Age *

Grade in School *

School Student Attends *

Parent/Guardian 1 Full Name *

Parent/Guardian 1 Phone *

Parent/Guardian 1 Email *

Parent/Guardian 2 Full Name *

Parent/Guardian 2 Phone *

Parent/Guardian 2 Email *

Request: Please answer the following questions:

Why are you applying for a scholarship? *

Has your family received a CMT scholarship in the past? *

If so, what was the date, name of program, and amount of scholarship?

As a thank you to any potential scholarship, can we contact you about volunteering opportunities to give back to our organization?

PART 2: FINANCIAL INFORMATION

My household is located in the CITY of: *

My household is located in the COUNTY of: *

Number of Dependent Children: *

Yearly Family Income: *

Number of Income Sources (example: 1 full time or 1 full time and 1 part time): *

Total Number of People Living in the Home *

Describe any unusual financial obligations: *

Is anyone in the household eligible for food stamps? *

Is your household a participant in the Housing Choice Voucher (section 8) program and/or a Pubic Housing resident? *

Type your initials to verify you understand that CMT may ask for proof to verify the information in this section. *

PART 3: SIGNATURE

I hereby attest that the income and residence information listed in Parts 1-3 of this application is true and complete. I understand scholarships are awarded solely at the discretion of CMT and are subject to funding limitations. Financial eligibility does not guarantee a scholarship will be awarded. I further understand that it is not always possible to fund 100% of tuition as a scholarship.

If a partial scholarship is offered, will you consider paying a reduced rate? *

If so, how much?

As a condition of receiving scholarship funds, student MUST ATTEND all classes/camp sessions/rehearsals, etc. Failure to attend all sessions may result in the scholarship be rescinded, the student discontinuing the class/camp/production, and disqualification from future scholarship considerations. If accepting a scholarship for Stage School, you will need to reapply at semester.

Additionally, I recognize that any application that has not been FULLY completed, will not be considered. (Type your initials to verify you understand.) *

Please type Parent/Guardian name as a digital Signature *

Date of submission: *

Timeout Warning

PART 1: APPLICATION

PART 2: FINANCIAL INFORMATION

PART 3: SIGNATURE