tat scholarship application summer 2013
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7/29/2019 TAT Scholarship Application Summer 2013
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The Childrens Theatre Company 2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119
The Childrens Theatre CompanyCenter for Innovation in Theatre Education
Scholarship Request FormSummer Session: June 10th August 16th, 2013
To apply for financial aid, please submit the following items to the CTC TheatreArts Training office:
One (1) completed copy of Scholarship Request Form (Pages 2-6) One (1) copy of your most recent income tax return.
o Please note: Only the page showing your Adjusted Gross Income(AGI) is required (The 1
stpage of most 1040s)
One (1) copy of the Letter of Agreement signed by both the student and aparent/guardian. (Page 7)
Please do not include a registration form or payment for camps.
PLEASE NOTE: Your application will not be considered complete until all items have beenreceived.
Incomplete applications will not be eligible for financial aid.
Please complete the entire form and return to:
Debra BaronTheatre Arts Training Director2400 3rd Ave S.Minneapolis, MN [email protected]
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The Childrens Theatre Company 2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119
Scholarship Request Form
Please indicate the camp(s) you are planning on enrolling in below:
Select Camp Title Dates Times Cost
Ages 4, 5
Disney Legends July 8-12 9:30am 11am $130
Pinkalicious July 8-12 2:30pm 4pm $130
The Mighty Mice of Kevin Henkes July 15-19 9:30am 11am $130
Wild Things! July 15-19 2:30pm 4pm $130
Don't Let the Pigeon Drive the Bus
(and others from the series)July 22-26 9:30am 11am $130
Olivia Dances For Joy July 22-26 2:30pm 4pm $130
Welcome to the Jungle July 29 - August 2 9:30am 11am $130
A Bug's Life July 29 - August 2 2:30pm
4pm $130
Tickled Pink August 5-9 9:30am 11am $130
Puppet Pizazz! August 5-9 2:30pm 4pm $130
Grades K-2
Super Heroes Unite! June 10-14 9:30am 12noon $170
Seuss-O-Rama June 10-14 1pm 3:30pm $170
How Did That Happen! June 17-21 9:30am 12noon $170
Where The Sidewalk Ends June 17-21 1pm 3:30pm $170
Musical Jam! June 24-28 9:30am 12noon $170
Splat the Cat June 24-28 1pm 3:30pm $170
Under the Rainforest's Canopy July 8-12 9:30am
12noon $170
Goosebumps! July 8-12 1pm 3:30pm $170
Riddle Me This July 15-19 9:30am 12noon $170
Dancing Aesop's Fables July 15-19 1pm 3:30pm $170
Who Done It? July 22-26 9:30am 12noon $170
Here Be Dragons July 22-26 1pm 3:30pm $170
Fractured Fairy Tales July 29-August 2 9:30am 12noon $170
You Can Change the World! July 29-August 2 1pm 3:30pm $170
Pixies & Pirates August 5-9 9:30am 12noon $170
Musical Jam! August 5-9 1pm 3:30pm $170
Grades 2-3All Over the Map! The Geography of
MovementJune 10-14 9:30am 12noon $170
Superheroes and Sidekicks June 10-14 1pm 3:30pm $170
Musical Jam! June 17-21 9:30am 12noon $170
Adventures of the Immortals June 17-21 1pm 3:30pm $170
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The Childrens Theatre Company 2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119
Select Camp Title Dates Times Cost
Grades 2-3
Choose Your Own Adventure June 24-28 9:30am 12noon $170
Sorcerer School June 24-28 1pm 3:30pm $170
The Bippolo Seed and Other Lost
Stories by the Great Dr. Seuss July 8-12 9:30am 12noon $170
Who Done It? July 8-12 1pm 3:30pm $170
Build A World (for the young visual
artist who also loves theatre)July 15-19 9:30am 12noon $170
Tales of Anansi the Spider July 15-19 1pm 3:30pm $170
A Tale of Dark & Grimm July 22-26 9:30am 12noon $170
Musical Jam! July 22-26 1pm 3:30pm $170
Alice in Wonderland July 29-August 2 9:30am 12noon $170
Myths and Magic July 29-August 2 1pm 3:30pm $170
The Miraculous Journey of Edward
TulaneAugust 5-9 9:30am 12noon $170
Super Heroes Unite! August 5-9 1pm 3:30pm $170
Goosebumps! August 12-16 9:30am 12noon $170
It Came From Beneath the Bed!
(Tales from the Bunnicula Series)August 12-16 1pm 3:30pm $170
Grades 4-6
Fangtastic (My Sister the Vampire
Series)June 10-14 9am 12noon $200
Narnia Ho! June 10-14 1pm 4pm $200
Harriet the Spy June 17-21 9am 4pm $280
Peter Pan (by audition only) June 17-28 9am 4pm $430
Rocketship to Mars June 24-28 9am 4pm $280
The Newsies Broadway Revue July 8-12 9am 4pm $280
The Invention of Hugo Cabaret July 8-12 9am 4pm $280
Sing Out on Stage July 15-19 9am 4pm $280
Percy Jackson: Sea of Monster July 22-26 9am 12noon $200
Artemis Fowl July 22-26 1pm 4pm $200
Broadway Rocks July 29-August 2 9am 4pm $280
Circus of the Night August 5-16 9am 4pm $430
Grades 5-8
Junior Intensive: Beauty and the
Beast (by audition only) July 15-August 4 9am
4pm $450
Grades 6-8
From Working to Wicked June 10-14 9am 4pm $280
Shakespearean Death Scenes June 17-21 9am 4pm $280
A Moment in the Spotlight June 24-28 9am 4pm $280
The Maze Runner July 8-12 9am 4pm $280
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The Childrens Theatre Company 2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119
Select Camp Title Dates Times Cost
Grades 6-8
OZ Revue July 15-26 9am 4pm $430
LITTLE RED & Other Trips Through
the ForestJuly 22-August 2 9am 4pm $430
The Wizard's Way July 29-August 9 9am 4pm $430
Musical Theatre Audition Workshop August 12-16 9am 12noon $200
Audition Workshop August 12-16 1pm 4pm $200
Grades 7-12
Special Offering: Dance Intensive June 10-14 9am 4pm $280
Grades 9-12
The Greatest Musical Scenes Ever
WrittenJune 10-14 9am 4pm $280
The Katrina Project: Hell and High
WaterJune 17-21 9am 4pm $280
The Farce: Noises Off June 24-28 9am
4pm $280Senior Intensive: Hair
(by audition only) July 8-August 11 10am 5pm $480
Dance Bootcamp with Michael
Matthew FerrellAugust 12-16 9am 12noon $200
Vocal Bootcamp with Joey Clark August 12-16 1pm 4pm $200
Improvisation (down and dirty)
Bootcamp with Jen ScottAugust 12-16 11am 3pm $200
***Please make sure you have checked the Select box
for every camp you are applying for.***
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The Childrens Theatre Company 2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119
1st Parent/Guardian InformationName:
E-mail: Phone:
Current address:
City: State: Zip Code:
Occupation:Current employer: Work Phone:
Select any that apply:
Separated Divorced
Single Parent Unemployed
Unable to Work Deceased
Student InformationName:
Sex (circle one): M F DOB: School Grade:
Current address:
City: State: Zip Code:Home Phone: E-mail (optional):
Number of sessions previously enrolled in TAT classes/camps:
2n Parent/Guardian InformationName:
E-mail: Phone:
Current address:
City: State: Zip Code:
Occupation:
Current employer: Work Phone:
Select any that apply:
Separated Divorced
Single Parent Unemployed
Unable to Work Deceased
Other Dependent Children (Not including Student Enrolling in CTC Courses)
Name: Age: School/College: Tuition Paid by Parents:___________________
Aid Received by Parents:____________________
Name: Age: School/College: Tuition Paid by Parents:
___________________
Aid Received by Parents:
____________________
Name: Age: School/College: Tuition Paid by Parents:
___________________
Aid Received by Parents:
____________________
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The Childrens Theatre Company 2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119
List other dependents, if any. Include any non-income generating family members that rely on yourhousehold for financial support. In case of dependents living outside of your home, please indicateapproximate amount of financial assistance rendered each year.
____________________________________________________________________________________________________________________________________________________________________________________
Total number of dependents (including child enrolling in CTC courses)
Parents/guardians adjusted gross income (AGI)
Teen students adjusted gross income (AGI)
Adjusted Gross Income household total
Please explain any special family circumstances such as divorce, unemployment, illness, etc.
____________________________________________________________
________________________________________________________________________________________________________________________
Are there any other funds that might be applied to the candidates education such as legacies, gifts, trustfunds, educational insurance, alimony, other scholarships? Explain:
________________________________________________________________________________________________________________________
Who assumes responsibility for the payment of tuition and other expenses?
Your adjusted gross income can be found on:
IRS Form 1040 line 37IRS Form 1040A line 47 and 52IRS Form 1040EZ line 11Telefile K(2)
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The Childrens Theatre Company 2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119
The Childrens Theatre Company Education Department
Letter of Agreement
The Childrens Theatre Company Theatre Arts Training Program provides challenging, innovative, high-quality arts education opportunities to students of every cultural heritage, ability and level of interest. Ourgoal is to help our students develop their imaginations, voices and bodies by teaching theatre skills thathelp them grow both as artists and as people.
As a potential recipient of a scholarship, you must meet the following expectations. This will ensure thatyou receive the best possible experience and that the Childrens Theatre Company makes the best use ofits limited financial resources.
Parent/Guardian Expectations
1) You will ensure that the financial aid recipient attends all camps for which they are registered.2) You will ensure that the recipient is on time for all camps.3) You will ensure that the recipient brings appropriate materials/attire to all camps.4) You will meet established deadlines for tuition bills not covered by scholarship
Failure to meet the above expectations may result in the loss of aid and/or suspension of participation incamps.
I certify that I have provided current, accurate and truthful information. I understand that, should I receivea scholarship I will be responsible for paying any tuition balance and applicable fees by the indicateddeadlines. I have read the expectations outlining attendance and other guidelines.
Parent/Guardian signature __________________________________ Date ______________
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The Childrens Theatre Company 2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119
Mailing Checklist
Before mailing, have you included:
One (1) completed copy of ScholarshipRequest Form
One (1) copy of the front page (or pageshowing AGI) of your most recent
income tax return.
One (1) copy of the Letter of Agreementsigned by both the student and aparent/guardian.
Please do not include a camp registration form or anypayment at this time. We will provide information onhow to register with your scholarship determination.
Thank you for your interest in Theatre Arts Training camps.If you have any questions please contact Debra Baron at:
[email protected] or 612.879.5699