Austin Public Scholarship Intake Form
Committed to freedom of speech and expression, Austin Public is pleased to offer a sliding scale scholarship program for annual fees and certification level courses to ensure that regardless of financial resources, members of the community have access to the means of production and an avenue to assure that their voices are heard.

To be considered for fee reductions and/or waivers, applicants must: 1) attend an Austin Public Orientation session (to find the next session on our calendar, visit https://www.austinpublicaccess.org/learn/calendar), 2) complete the application below, and 3) provide the appropriate documentation to demonstrate financial hardship (email documents to yolanda@austinfilm.org).

Completing an application does not guarantee reduced or waived fees. All scholarships are awarded on the basis of availability and financial need. All applications will be acknowledged via email and they will be reviewed in the order in which they are received.

If you have any questions, please email Community Media Coordinator Yolanda Gamble at yolanda@austinfilm.org. We look forward to reviewing your application and hope to see you at the station, soon!

Email address
Your Name
Your answer
Mailing Address
Your answer
Phone Number
Your answer
Have you attended an orientation at Austin Public within the past two years?
If you have attended an Orientation at Austin Public, please provide the approximate date.
Your answer
Are you currently an Austin Public Producer?
If not, have you been a Producer at Austin Public in the past?
If you are a former Producer that is no longer active, what certifications did you previously have and approximately when did they expire?
Your answer
Please indicate which of the following scholarships you are interested in receiving:
Required
In 300 words or less, please explain how you intend to put the media training you receive at Austin Public to use, and why you should be selected to have your fees reduced and/or waived. (If selected Studio Upgrade, please explain how you intend to use the larger studio).
Your answer
How did you hear about us?
Your answer
Please submit one of the following to Yolanda@austinfilm.org to determine eligibility for the Austin Public scholarship award:
• Medicaid Notice of Case Action Letter from Texas Department of Health & Human Services

• Supplemental Nutrition Assistance Program (SNAP) Notice of Case Action Letter from Texas Department of Health & Human Services (also known as Food Stamps)

• Children’s Health Insurance Program (CHIP) Confirmation Enrollment Letter from Texas Department of Health & Human Services

• Telephone Lifeline Program Enrollment Letter or Phone Bill Reflecting Lifeline Enrollment

• Travis County Comprehensive Energy Assistance Program (CEAP) Notice of Payment Letter

• Medical Access Program (MAP) Clinic Card

• Supplemental Security Income (SSI) Award Letter

• Copy of most recent income tax returns (please be sure to remove all social security numbers)

* PLEASE NOTE THAT YOUR APPLICATION WILL NOT BE COMPLETE UNTIL ALL SUPPORTING DOCUMENTATION HAS BEEN RECEIVED.

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