Scholarship Application

THE CARNEGIE PLAYERS THEATER SCHOLARSHIP 2010

All applications are to be completed and mailed to
The Carnegie Players, P. O. Box 173
Rensselaer Indiana 46978

Name__________________________   Date of Birth______________

Address________________________   Phone___________________

Father’s Name ___________________  Occupation_______________

Mother’s Name ___________________  Occupation _______________

Name and city of the college you wish to attend __________________

________________________________________________________

Intended course of study or major_____________________________

Have you applied?___________  Have you been accepted?__________

Provide an anticipated expenses for the first year of college.

Tuition ____________                  Room and Board _________________

Books, supplies_____________   Other expenses __________________

List any anticipated sources of financial support for college ___________

__________________________________________________________

ON A SEPARATE PIECE OF PAPER PLEASE PROVIDE
THE FOLLOWING INFORMATION

1. List of names of the places where you have been recently employed.
2. List of extracurricular school, community,and church activities you participated
in during school (specifically noting involvement in the performing arts)
3. Provide a brief paragraph describing your career goals, your family situation,
any financial problems you may be facing, and how the performing arts have
impacted you.Applicant’s Signature_____________________________________________

Parent/Guardian Signature________________________________________