Stage Door Academy Scholarship Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

Student Full Name *

Student Date of Birth

YYYY

Student Current Grade Level *

Do we have permission to obtain photographs/film of the participant for educational, marketing/promotional and archival purposes? *

Yes

I'd like to discuss more

Parent/Guardian Full Name *

Phone # *

Address *

Program Title *

Show/Name/Theme of program:

Example: Little Shop of Horrors, Dogman, Lilo & Stitch, etc.

Please state the START date of the program *

YYYY

Scholarship Coverage Requested *

25%

50%

75%

100%

Other:

Why would your student benefit from a scholarship?

If your student has participated with Stage Door programs before, which ones?
*

If applying for more than one program or scholarship, PLEASE fill out a seperate form for each student and program. *

I understand

Other:

Required

I certify that the information provided in this application is accurate and complete to the best of my knowledge.

I understand that any misrepresentation of information may result in the withdrawal of the scholarship.

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report