Name *
Address *
Phone *
Program(s) you are applying to: *
Which scholarship(s) are you applying for: *
Are you currently a student? *
Do you pay tuition at your school?
Are you currently on financial aid? *
Are you currently on a scholarship? *
Are you currently employed or do you expect to start employment either full or part time? *
Address of Employer
Address of Employer
Phone of Employer
Phone of Employer
If you are married or will be married within the year, you must complete this section of the form.
Please enter 0 if none.
Is your spouse employed?
Please list all scholarships, loans, or financial aid and include funds available to you by immediate family and relatives:
I have read and understand the provisions of the application for tuition remission consideration at the Double Edge Theatre, and I certify that all the information given here is complete and accurate. I understand that any false or misleading statement, or inaccurate or incomplete information, may be the basis for denial of a scholarship award. If I receive a financial aid award in reliance on such statement or information, I understand that I may be dismissed from program and that the scholarship award may be revoked. I further understand that the obligation to provide truthful, accurate, and complete information is a continuing one which requires me to notify Double Edge Theatre of any changes in my answers to any part of this application which occur after the date of signature on this application.
Date of signature *
Date of signature