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Northwest Missouri State University


Theatre Scholarship Application


FIRST-YEAR STUDENTS
(including Freshmen & Transfer Students)

2018-2019 Academic Year

 

Application Deadline: Monday, March 5, 2018 at 5 p.m.

 

* indicates required fields

Student Information

*First Name:
Middle Name:
*Last Name:
*Birthdate: (format:MM/DD/YYYY)
*Street Address:
*City:
*State:
*ZIP Code:
*Phone Number:
*Email Address:

High School/College Information

*Current High School
or College:
*Street Address:
*City:
*State:
*ZIP Code:
*Cumulative GPA:
*Have you applied for admission to Northwest?
     Yes      No
*Have you been accepted by Northwest?
     Yes      No
*Intended Major at Northwest:

Essays

*List all other financial aid possibilities (be specific):

*List your high school accomplishments including involvement in theatre:

*List other activities in which you were involved in your community and high school:

Audition/Presentation Information

*Do you intend to audition in performance?
     Yes      No
*Do you intend to enter a technical presentation?
     Yes      No
If you are a speech/theatre education major, will you be presenting:
     a performance piece      a technical portfolio      none

*List the name of your selection(s) and the author(s):
Please choose two contrasting pieces totaling under 4 min.

*List the types of design(s) you will be submitting (makeup, costume, set, lighting).
All materials will be returned after the interview if return postage is paid.

References

Reference Contact #1

*Full Name:
*Street Address:
*City:
*State:
*ZIP Code:
*Phone Number:
*Email Address:
*Relationship:

Reference Contact #2

*Full Name:
*Street Address:
*City:
*State:
*ZIP Code:
*Phone Number:
*Email Address:
*Relationship:


Please call 660.562.1326 to schedule an audition/portfolio presentation appointment.

All materials submitted/collected will be kept confidential.