Scholarship Application

Student's Name*

First Last

Child's Age*

As of Program Start Date

Program Name*

The name of the program for which you are requesting a scholarship. For more information, visit Broadway Workshop.

Program Fee*

The full fee for this program.

Consider Us for a*

Check one or both.

Child's Ethnicity

Optional

Optional Audition Clip

If you can, please upload a video to YouTube or Vimeo that demonstrates your ability.

Please Specify

Parent/Guardian Name*

First Last

Parent/Guardian Name

First Last

(Optional)

Parent/Guardian Email*

Enter Email Confirm Email

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Statement of Need