EAST BAY CENTER FOR THE PERFORMING ARTS - 2019-2020 Young Artist Diploma Scholarship Application
Application accepted through April 30, 2019
--Limited Space Available. Early Applications Strongly Recommended----
Email address *
Student Information
Student Full Name *
Your answer
Gender *
Your answer
Current Grade *
Your answer
Current School *
Your answer
Parent/Guardian Full Name: 1 *
Your answer
Parent/Guardian Full Name: 2 *
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent/Guardian Email *
Your answer
Parent Cell Phone *
Your answer
Student Cell Phone *
Your answer
Alternate Phone (Home/Work) *
Your answer
If you were nominated by a school administrator, teacher or organization, please state their name and organization.
Nominator Full 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 honor your required 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 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 (Electronic Signature) *
Your answer
If you have any questions, please contact:
Kwesi Anku, Associate Director of Student Development & Training
Kwesi@eastbaycenter.org, 510-323-4495
A copy of your responses will be emailed to the address you provided.
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