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Application

Student Full Name *

Student Age *

Grade in School *

School Student Attends *

Parent/Guardian 1 Full Name *

Parent/Guardian 1 Phone *

Parent/Guardian 1 Email *

Parent/Guardian 2 Full Name

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

Why are you applying for a scholarship? *

Has your family received a CMT scholarship in the past? *

Yes

If so, what was the date, name of program, and amount of the scholarship?

Financial Information

City *

County *

Number of Dependent Children *

Yearly Family Income *

Describe any unusual financial obligations *

Is student eligible for free or reduced lunch program? *

Yes

Signature

I hereby attest that the income and residence information listed in Parts 1-3 of this application is true and complete. I understand scholarships are awarded solely at the discretion of CMT and are subject to funding limitations. Financial eligibility does not guarantee a scholarship will be awarded.

Will you consider paying a reduced rate if only a partial scholarship is offered? *

Yes

If yes, how much?

As a condition of receiving scholarship funds, student MUST ATTEND all classes/camp sessions/rehearsals, etc. Failure to attend all sessions may result in the scholarship being rescinded, the student discontinuing the class/camp/production, and disqualification from future scholarship considerations.

Applicant’s Parent/Guardian Signature *

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Scholarship Application Children’s Music Theatre

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