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Richard and Leslie Lund Scholarship Application
To be considered a scholarship at Weathervane Playhouse you must fill in the information below as completely and accurately as possible.
Student Information
Student's First Name
*
Student's Last Name
*
Student Age
*
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Parent/Guardian Information
Parent/Guardian's First Name
*
Parent/Guardian's Last Name
*
Address 1
*
Address 2
City
*
State
*
Postal Code
*
Contact Phone
*
Second Phone
Email Address
*
Financial Information
Family Size
*
2
3
4+
Relationship to student
*
Parent
Grandparent
Legal Guardian
(This Scholarship is for me)
Monthly Income
*
Monthly Expenses (Rent, utilities, food, medicine, healthcare, auto, credit card payments, etc...)
*
Monthly Income minus Expenses
*
Additional Income
*
Alimony
Child Support
Social Security
WIC and/or SNAP
Other
Other
Scholarship Request
Class Session
*
Spring Theatre Academy
Summer Theatre Academy
Fall Theatre Academy
Which class does your child want to take? (https://campscui.active.com/orgs/WeathervanePlayhouse) Any additional information that you think we need to know that might affect your application?
Amount Requested in Scholarship Funds
*
10%
25%
50%
Other:
Other:
Please sign to confirm that the information provided on this application is true and accurate.
*
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