2009-2010 Season Proudly Presented by:


 




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Summer Institute Student Enrollment Application




Penumbra Theatre Company offers Angel Scholarships to students in need who meet scholarship requirements. In order to be considered for an Angel Scholarship you must complete the scholarship information at the end of your application.

For more information please contact Education Coordinator Benjamin Hanna at 651-288-7791.


Summer Institute Runs July 5 - August 2, 2010
  Application Deadline: May 24, 2010


First Name:*

Middle Name:

Last Name:*

Date of Birth (MM/DD/YYYY):*

Grade:*

School Name:*

How do you identify your gender?*

How do you identify your race?*

How do you identify your ethnicity?*

Street Address Line 1:*

Street Address Line 2:

City:*

State:*

Zip Code:*

Country:

Home Phone Number:*

Cell Phone Number:

Student's Email Address:

PARENT/GUARDIAN INFORMATION:


Student Lives With:*

Mother
Father
Both
Other
If other, please state relationship to student:

Mother/Guardian First Name:*

Mother/Guardian Last Name:*

Mother/Guardian Occupation:*

Mother/Guardian Business Phone:

Mother/Guardian Cell Phone:

Father/Guardian First Name:

Mother/Guardian Email Address:*

Father/Guardian Last Name:

Father/Guardian Occupation:

Father/Guardian Cell Phone:

Father/Guardian Business Phone:

Father/Guardian Email Address:

PLEASE ANSWER THE FOLLOWING QUESTIONS:


How did you find out about Penumbra's Summer Institute?*

Who were you referred by?*

What experiences have you had with the performing arts?*

Do you have specific goals for your time spent at Summer Institute? What would you like to accomplish during the four weeks?*

Why do you think you would be a good candidate for the Summer Institute program?*

Please list any extra- or co-curricular activities in which you have been involved including volunteer/service experiences.*

ESSAY QUESTION

Please answer the following short essay questions:

In your own words, what does 'art for social change' mean? What kind of contribution would you like to make through your art?*

SCHOLARSHIP INFORMATION

Important Note: In order to be considered for a scholarship students must submit this information with their application.

Scholarships are awarded to eligible students on the basis of need and dedication to the performing arts. If you would like to be considered for a scholarship, please answer the following questions to the best of your ability.

How many people are in your household?

What is your household's annual income?

Do you feel an obligation to provide financial support for your family?

Are you on the free and reduced lunch program at school for 2009-2010?

In 2009-2010 did your family receive public assistance, disability, social security benefits or WIC?

If yes, please explain:

Are you or your parents (a) first generation immigrant(s) to the United States?

Is there anything else you would like to share with us about your financial situation?

* Required field