Scholarship Application

Personal Information

Student Last Name___________________________  Student First Name _______________________________________

Age________________________________________  Grade __________________________________________________

Parent/Guardian Last Name____________________  Parent/Guardian First Name _______________________________

Mailing Address ______________________________________________________________________________________

City_________________________________  State ________  Zip ______________________________________________

Email _______________________________________________________________________________________________

Primary Phone _______________________________ Secondary Phone ________________________________________

Household Financial Information

Gross Annual Household Income _______________________________________________________________________

Are you a single earner household? _____________________________________________________________________

How many dependents? ______________________________________________________________________________

Have you previously applied for Scholarships with Broadway Center for the Performing Arts? ____________________________________________________________________________________________________

Does your family receive public assistance?  If so, please circle programs that apply to your household:

 WIC

DSHS

TANF

Copes/In-home assistance

Medical Need

WorkFirst

Further Scholarship Application Requirements

In addition to this form, please submit:

• A completed Class Registration form.
• A Letter of Request.
• $25 fee w/ application to be credited toward tuition.
• Any other class-specific requirements (see class descriptions for additional enrollment requirements).

Letter of Request

• Both student and parent/guardian names
• Address
• Phone
• Email
• Student's grade and age
• Class(es) interested in attending
• Amount of aid requested, Scholarship award based on funds capacity and need
• Additionally, please address the following as it pertains to your situation: current financial situation including brief explanation of expenses and income, number of members in household, your unique financial circumstances, and special considerations and/or specific needs as it pertains to your financial aid request.

Please be specific and keep your requests to no longer than one page in length.

¿Si usted desea traducción de esta forma?  Por favor llame: 253-573-2517