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Theatre Scholarship Application and Registration for Scholarship Audition

Full Name:
City: State Zip
Phone: Cell Phone
E-Mail Address
Date of Birth
Do You Have A High School Diploma? Yes  No
If Yes, Where From:
City: State: Zip:
Colleges Attended and Year
Current GPA
Check appropriate category High School Senior College Transfer
Name of School
SAT score    ACT score
I wish to be considered in the following area(s) Performance Production Both
Are you employed now/will you need to work while at Chipola? Yes  No
Have you applied for any type of Financial Aid? Yes No
If so, explain:

Briefly list any previous employment experience:

What other outside activities or groups do you participate in?

List any honors or awards you have received:



Print a copy of this application for your records.  After submitting this application yaou should receive an automated response confirming

the receipt of the application.  Within two weeks you should receive an email with specific audition information.  If you do not receive

audition information within two weeks of your application, contact



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Member of The Florida College System 3094 Indian Circle | Marianna, FL 32446 | Phone: (850) 526-2761 | Email Us