Fremont Community Theatre Scholarship Application And Requirements (Page 2 of 2) in pdf

Fremont Community Theatre Scholarship Application And Requirements Page 2

FCT Scholarship Application

If additional space is needed, please use the back of this page or attach a new sheet of paper to

this page.

Name: __________________________________________________ Date: ______________

Address: ___________________________ E-Mail: __________________________________

City: _________________________________________ State: ______ Zip: _______________

Phone: Home ( __ )

Cellular: (____) _________________________

Name of High School: __________________________________________________________

Address of High School: ________________________________________________________

High School Grade Point Average: _________________ Years Attended: _________________

College Attended Previously (If Applicable): ________________________________________

College Grade Point Average (If Applicable): ________________________________________

Awards or Honors Received: _____________________________________________________

_____________________________________________________________________________

Extra-Curricular Activities: _______________________________________________________

______________________________________________________________________________

College You Will Attend in the Fall: ________________________________________________

Address: ______________________________________________________________________

Major: _________________________________________Year: (Fr., Soph., etc.): ____________

Employment History (If Any): _____________________________________________________

______________________________________________________________________________

By signing this form, I submit that I am a member in good standing of Fremont Community Teen

Theatre and that I have not been awarded this scholarship in a previous school year.

______________________________________________

Signature of Student

______________________________________________

Signature of Parent

_______________________________

Date

Fremont Community Theatre Scholarship Application And Requirements Page 2