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EAST BAY CENTER FOR THE PERFORMING ARTS - 2017-2018 Young Artist Diploma Scholarship Application
Priority Application Period: January 20th - February 24th, 2017
Application accepted through March 17, 2017
-----Limited Space Available. Early Applications Strongly Recommended----
Student Information
Student Name
Your answer
Current Grade
Your answer
Current School
Your answer
Parent/Guardian Name(s): 1
Your answer
Parent/Guardian Name(s): 2
Your answer
Mailing Address
Your answer
City
Your answer
Zip Code
Your answer
Home Phone #
Your answer
Alternate Phone (Student Cell)
Your answer
Alternate Phone (Parent Cell)
Your answer
If you were nominated by a school administrator, teacher or organization, please state their name and organization.
Nominator Name
Your answer
Nominator's Organization
Your answer
Please answer the following questions:
1. Describe your training/background in the performing arts. (Please be specific about areas in the arts.) If you have no experience, please state your performing arts interests.
Your answer
2. What do you hope to gain by participating in East Bay Center’s Young Artist Diploma Program?
Your answer
3. Do you have any conflicts that may prevent you from making a commitment of participating in 6 hours per week of instruction during the school year AND/OR the 5 week Summer Intensive? YES/NO. IF Yes, please explain.
Your answer
4. What are your other interests and extra-curricular activities?
Your answer
5. Please list any additional teachers or training programs that you are currently participating in or have participated in the past.
Your answer
Demonstration Description:
What can you share or demonstrate in the interview process that will allow us to assess your artistic potential? (Please check all that apply).
Required
Please describe what you will present: (title of song, name of choreographer if other than yourself, date of written poetry or written sample, etc.)
Your answer
PARENTS ONLY:
1. Please mark each area that you would like to be called upon to meet your required annual 15 volunteer hours.
Required
2. Is there anything regarding your student/child that you want the Center to be aware of in consideration of this application?
Your answer
I understand and have reviewed the Young Artist Diploma Student Brochure and Handbook with my student/child AND I consent to my student/child to present the demonstration described in the application to East Bay Center staff at the time of the scheduled interview.
Required
Parent/Guardian Name
Your answer
If you have any questions, please contact:
Kwesi Anku, Associate Director of Student Development & Training
Kwesi@eastbaycenter.org, 510-323-4495
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