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Aurora Picture Show Community Youth Scholarship Application
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Participant’s Name
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Birth Date
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Parent/Guardian
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Home Phone
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Work Phone
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Mobile
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E-Mail
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Address
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City, State
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Zip Code
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Additional Contact Information
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Are you submitting a scholarship application for someone outside your family?
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Scholarships are awarded on the basis of financial need. Please explain why you are applying for a scholarship.
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Family/Household Size:
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Total Annual Family Income:
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Please have the participant fill out the following section:
Clubs/extracurricular activities:
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Include any film/video experience and/or favorite movies
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Statement of Purpose:
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Please describe what do you hope to get out of the experience during the camp? Why you are excited about attending the film camp.
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