Theatre Scholarship Application

First Name:

Last Name:

Email address:

Street Address:

City:

State/Province:

Zip/Postal Code:

Telephone:

Cell:

What is your current status?

Current SHSU Student

What is your Sam ID #?

Semester/ year you are attending SHSU?

Pick Semester/Year Fall 2008 Spring 2009 Fall 2009 Spring 2010 Fall 2010 Spring 2011 Fall 2010 Spring 2011 Fall 2010 Spring 2011 Fall 2010 Spring 2011

Cumulative GPA:

Copy of current DARS degree program:

YES NO

Do you have a Head shot:

YES NO

Audition Date:

February 21, 2009 March 28, 2009

Major/Classification:

 / 

What Theatre, Dance or Music classes are you taking this semester?(Included expected grade):

Class: Grade: ,  
Class: Grade:   
Class: Grade: ,  
Class: Grade:   
Class: Grade: ,  
Class: Grade:

What Theatre, Dance or Music classes are you planning on taking next semester? :

What contributions have you made to the department?(be specific- time, energy, effort, shows, volunteering, crews, etc.):

Why are you applying for this scholarship?: