JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
STAR Academy Scholarship Application 2024
Prior to filling out a scholarship application, please make sure to register your child by calling the LCT Box Office at (608) 784-9292 or online here:
Complete all required questions. If applying for more than one child, please complete a separate application for each child requesting a scholarship.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Participant's Name
*
Your answer
Participant's Date of Birth
*
MM
/
DD
/
YYYY
If comfortable, please share the Participant's Race/Ethnicity
*
American Indian, Native American, Indigenous peoples of America or Alaska Native persons/communities/populations
Asian persons
Black or African American persons; Black persons
Native Hawaiian persons
Pacific Islander persons
White persons
People who identify with more than one race; people of more than one race; persons of multiple races
Hispanic or Latino or Latinx persons
Other
I prefer not to disclose
Parent(s)/Guardian(s) Name(s)
*
Your answer
Full Address
*
Your answer
What School District is your child enrolled in?
*
Your answer
What grade is your child in for the 2023-2024 school year?
*
Your answer
Preferred Phone Number
*
Your answer
Preferred Email
*
Your answer
Do you prefer to be contacted about scholarship information via email or phone call?
*
Phone Call
Email
Either
Which STAR Academy Camp are you applying for a scholarship?
*
Lion King Kids (June 10- 29) Grades: K-4
Mean Girls: High School Edition (July 1 - August 4) Grades 7-12
Diary of A Wimpy Kid 60-Minute (July 29 - August 18) Grade 5-7
Middle School Technical Theatre (July 29 - August 9) Grade 5-12
Middle School Performance Tech (August 12-August 18) Grade 5-12
High School Technical Theatre (July 8-July 19) Grade 5-12
High School Performance Tech (July 22-August 4) Grade 5-12
Please list your household's gross income for 2023-2024 (include each adult's wages, child support, etc.)
*
Your answer
If your child does not receive a full-ride scholarship, would they still attend? Please answer with a "Yes" or "No". You are invited to disclose why or why not in the space below.
*
Your answer
Has your child participated in LCT classes, camps, or productions in the past? Please list.
*
Your answer
GUARDIAN AGREES TO THE FOLLOWING (please check each statement to indicate it is read and understood)
*
I understand that completing this form does not guarantee the reward of a scholarship.
I understand that if my child receives a scholarship, our family is making a commitment to the LCT session and may be required to pay a portion of tuition.
I understand that my student is required to attend their session consistently and performances if applicable. Failure to do so without notifying LCT may result in not receiving future scholarships.
Required
GUARDIAN SIGNATURE: By typing my name below, I verify that all provided information is correct.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of La Crosse Community Theatre.
Report Abuse
Forms
