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

    CONTINUED ON NEXT PAGE

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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

    CONTINUED ON NEXT PAGE

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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