BPAC Scholarship Application

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We are committed to offering scholarships, payment plans, and financial assistance to families that would not normally be able to participate in our productions. Please fill out this form to apply for assistance. We encourage children of all backgrounds, ethnicity, race, color, disability, learning style, religion, faith, socioeconomic status, culture, sex, sexual orientation, and gender identity to participate.

Financial assistance is available for all programs. Offers are made on a sliding scale and based on information requested below. Please note payment plans are available outside of financial aid.

Please complete one form per child. All information is held in complete confidence. Please note, you must turn in your latest tax turn to complete this form. You are welcome to block out identifying information.

Email *

Student's Name *

Town *

School *

Student's Grade as of Spring 2024 *

Program Interested in: *

Parent/Guardian's Name(s) *

Guardian Cell *

Guardian Occupation(s) *

Place(s) of Employment *

Total number of people in household *

Number of Adults *

Number of Children *

Total Annual Household Income (select one) *

Below $9,999

$10,000 - $19,999

$20,000 - $29,000

$30,000 - $39,999

$40,000 - $49,999

$50,000 - $59,999

$60,000 - $69,999

$70,000 - $79,999

$80,000+

Please indicate all sources of income:

Child support

Disability

Salaries

Social security

Other

Please explain any unusual family expenses: (medical, unemployment, death, emergency situations, etc) *

Was your child previously offered financial assistance for a BPAC program? *

Yes

Program applying for: *

Program tuition: *

How much tuition can your family afford? *

Balance (amount requesting): *

For the student: Why do you want to participate in the above program? *

For the parent/guardian: Why do you want your child to participate in the above program? *

Parent/Guardian: Please explain your financial situation. *

Signature *

First *

Last *

Date *

YYYY

Thank you!

Thank you for filling out this application. We will be in touch!

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