Scholarship Application
We want every young person in our community to have the opportunity to be engaged, enriched, educated, and entertained with theatrical arts. We are committed to providing more equitable opportunities for a more diverse community of young people. For this reason, we offer full and partial scholarships funded by The David Zacharias Memorial Scholarship Fund and other generous Playhouse donors. To be considered, please complete this application form. If you need assistance in any way, do not hesitate to contact us at boxoffice@playhousemerced.org, or by calling (209) 725-8587. Applications are reviewed upon receipt and notification usually takes 7-14 days.
Email *
How did you hear about this scholarship opportunity? *
Applying Adult First Name *
Last Name *
Preferred Pronoun(s) *
Phone *
Phone for TEXT
Address *
City *
State *
ZIP *
Child's First Name *
Child's Last Name *
Preferred Pronoun(s) *
Child's Age *
Gender *
Program you are applying for scholarship funding? *
Cost of the Program *
Requested Scholarship Amount ($) *
Who does the child live with? *
Reason for request? Tell us what makes the program cost a barrier to the child's participation. If the applicant receives financial assistance from the government (SSI, Cal Works, Food Stamps, County Relief, or General Assistance), the student will be eligible for a full scholarship. Please mention any of the above in your reason. *
Yearly family income? *
Demographic Information For The Child
This information helps us to know how well we are doing in providing opportunities for our very diverse community.
Child's Race / Ethnicity *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Playhouse Merced. Report Abuse