Please list the student's full name who is applying for this scholarship.
Your answer
Please list the student's current grade in school. (If you are the student and you are an adult, please respond "adult")
Your answer
Which class(es) is the student interested in taking this session?
Your answer
Contact Email Address
Your answer
Contact Phone Number
Your answer
Household size
Your answer
Number of Children under 19 years of age in household.
Your answer
Is there a single parent in the household?
Clear selection
Do you and/or your household qualify for any assistance programs? (Mark all that apply)
Household Annual Income Level (Include income from work, welfare, child support, alimony, pension, social security and disability, and any other sources)
Clear selection
While household income is a major factor, we recognize other circumstances affect families’ economic realities. Please write a paragraph statement clarifying your need for economic assistance for Playhouse Programs this season. You may also inform us of any additional barriers for your family, including transportation, language, and/or special needs.