Academy Scholarship – Fulton Theatre

Student's Name*
First Last
Student is a minor*
Parent/Guardian Name (if student is 18 or younger)*
First Last
Address*
What is your current address?

Street Address City ZIP Code
Email*
Phone*
Student Demographic Profile
Student Date of Birth*
Student Gender
District*
Student's School*
Name of Academy Course*
Requests without the name of a specific course title will not be considered.
Semester*
Percentage of Aid Requested
Select one. Partial and full scholarships are considered, but not guaranteed.
Financial Statement
In a few sentences, state your need for financial assistance. This information will be considered during our award selection process.

Student Demographic Profile