JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Act Out's Diversity Initiative Scholarship
Those interested in receiving full or partial scholarships for workshops at Act Out should fill out this form. Please allow 1-2 days for processing.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
Hometown/School
*
Your answer
Age
*
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Phone Number
Your answer
What size scholarship best suits your needs?
$300 (Full Scholarship. Includes workshop tuition, 4 show tickets, and other related costs for the production)
$200 (Includes Workshop Tuition).
$100 (Includes half of a tuition workshop)
Other:
Clear selection
Please briefly describe what theatre means to you.
Your answer
By clicking "yes," you are agreeing to be contacted about upcoming performances and workshop opportunities at Act Out. All scholarships will be awarded after an audition process. If you have any other questions or need to change information on this form, please email
actouttheatre1@gmail.com
.
*
Yes
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
