YAT Scholarship Application
Since 1976, Young Actors Theatre has never turned a family away due to financial hardship. Please fill out the questions below to the best of your ability. We will get back to you with your scholarship award within 5-10 days. Reach out to YAT Associate Artistic Director Gara Gaines with any questions at: gara@yatkids.org
Email address *
Basic Information:
Please select the YAT session for which you are requesting scholarship assistance: *
Please select your student's age range: *
Is there a specific class or camp that you are interested in receiving assistance for? Please mention it here:
Your answer
Financial and Household Information:
AFDC Case # (if applicable)
Your answer
Food Stamp Case Number # (if applicable)
Your answer
List name, age, and monthly income of all household members. (EX. Sharon, 43, $880) *
Your answer
Full Family Total Monthly Income *
Your answer
Number of household members (include all dependents, children, and adults including yourself) *
Your answer
List all monthly expenses, based on an average month. (Include mortgage or rent, auto or equity loans, credit cards, insurance, utilities, food & clothing, health expenses, other - please explain.) *
Your answer
Total Monthly Expenses *
Your answer
Please tell us a little more about you and your student:
Student Name (First and Last) *
Your answer
Student's Age and Grade *
Your answer
Student's School *
Your answer
Does the student receive: *
Student's Gender *
Student's Race/Ethnicity *
Guardian's Name (First and Last) *
Your answer
Guardian's Email *
Your answer
Guardian's Phone Number *
Your answer
Please write up to a paragraph detailing why the student wishes to participate in YAT. Students over the age of 10 may answer for themselves. For students under the age of the 10, guardians may answer. *
Your answer
Is there anything else we should know? Please list additional comments below:
Your answer
Thank you! Once you sign below and submit your application, we will begin our scholarship review process.
I certify that all of the above information is true and correct, that all income is reported and/or the food stamp or AFDC case number is reported correctly. I understand that this information is being given as application for the receipt of financial assistance and that YAT staff may verify the information. This is only an application for assistance for a portion of the fees. You are obligated to pay any fees remaining if financial assistance is awarded. *
Signature (please type your full name)
Your answer
Today's Date
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A copy of your responses will be emailed to the address you provided.
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