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The Childrens Theatre Company Center for Innovation in Theatre Education

Scholarship Request Form Fall Term: September 17th-November 17th 2012 Winter Term: January 21st-March 23rd 2013 Spring Term: April 8th-May 18th 2013 (6 Weeks)
To apply for financial aid, please submit the following items to the CTC Theatre Arts Training office:

One (1) completed copy of Scholarship Request Form (Pages 2-9) 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 1st page of most 1040s) One (1) copy of the Letter of Agreement signed by both the student and a parent/guardian. (Page 7)

Please do not include a registration form or payment for classes.

PLEASE NOTE: Your application will not be considered complete until all items have been received. Incomplete applications will not be eligible for financial aid.

Please complete the entire form and return to: Debra Baron Theatre Arts Training Director 2400 3rd Ave S. Minneapolis, MN 55404 dbaron@childrenstheatre.org

The Childrens Theatre Company

2400 Third Avenue S

Minneapolis, MN

55404

(fax) 612.874.8119

Scholarship Request Form Please indicate the class(es) you are planning on enrolling in below

Select Class title

Ages 2-3 Creating Together Ages 3-4 Onstage Step Into The Story (Continuing Creating Together) Creative Movement Adventures in Art, Drama and Visual Art Ages 4-5 Continuing Onstage Onstage Music in Motion Acting Stories Continuing Acting Stories

Winter Fall Spring Day

Wednesdays

Start Time
10am

End Time
10:45am

Cost
Fall/Winter $130 Spring $70 Fall/Winter $135 Spring $90 Fall/Winter $130 Spring $70 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90

Tuesdays Wednesdays Saturdays Saturdays

9:30am 11am 9am 9:30am

10:30am 11:45am 10am 10:30am

Tuesdays Saturdays Saturdays Saturdays Saturdays

11am 9am 10am 11am 12:30pm

12noon 10am 11am 12noon 1:30pm

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The Childrens Theatre Company

2400 Third Avenue S

Minneapolis, MN

55404

(fax) 612.874.8119

Select Class title

Ages K-1 Dancing Stories Onstage Mini-musical Theatre Dance Sing Disney (among others) Sing Disney (among others) Telling Tales Continuing Dancing Stories Shared Playwriting Continuing Sing Disney (among others) Grades 2-3 Musical Theatre Dance: Annie (among others) Onstage Fundamentals of Acting Fundamentals of Acting Sing Out Continuing Sing Out Continuing Fundamentals of Acting

Winter Fall Spring Day

Thursdays Thursdays Fridays Fridays Saturdays Saturdays Saturdays Saturdays Saturdays

Start Time
4pm 4:30pm 4:30pm 4:30pm 9am 10:30am 10:30am 12:30pm 1pm

End Time
5pm 5:30pm 5:30pm 5:30pm 10am 12noon 11:30am 1:30pm 2pm

Cost
Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $200 Spring $130 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $200 Spring $130 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $135 Spring $90 Fall/Winter $200 Spring $130

Thursdays Fridays Fridays Saturdays Fridays Saturdays Saturdays

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5pm 4:30pm 5:30pm 11:30am 5:30pm 11:30am 2pm

6pm 6:00pm 6:30pm 12:30pm 6:30pm 12:30pm 3:30pm

The Childrens Theatre Company

2400 Third Avenue S

Minneapolis, MN

55404

(fax) 612.874.8119

Select Class title

Grades 4-5 Showtime: Heroes & Villains Dance: Hip Hop Musical Theatre Jam: The Songs and Dances of Annie (among others) Sing: Glee Dance: Glee Fundamentals of Acting Grades 6-8 Winter Junior Company Show: Down the Rabbit Hole (a play with music and maybe a little dance) By audition only. GIRL GROUPS! (Fall Only) Broadway Dance: WICKED (among others) Comedy (Improv) Sports Actors Toolbox

Winter Fall Spring Day

Thursdays Fridays Saturdays Saturdays Saturdays Saturdays Tuesdays, Thursdays, and Fridays Thursdays Thursdays Fridays Saturdays

Start Time
5:30pm 5:30pm 9am 1pm 2pm 3pm

End Time
7:30pm 6:30pm 10:30am 2pm 3:30pm 4pm

Cost
Fall/Winter $260 Spring $170 Fall/Winter $135 Spring $90 Fall/Winter $200 Spring $130 Fall/Winter $135 Spring $90 Fall/Winter $200 Spring $130 Fall/Winter $135 Spring $90

4:30pm 4pm 6:00pm 4:30pm 9:30am

7pm 6pm 7:00pm 6pm 11am

$460

$200 Fall/Winter $135 Spring $90 Fall/Winter $200 Spring $130 Fall/Winter $200 Spring $130

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The Childrens Theatre Company

2400 Third Avenue S

Minneapolis, MN

55404

(fax) 612.874.8119

Select Class title

Grades 6-8 continued Broadway Dance 2 (grades 7-12) Musical theatre Jam: The Songs and Dances of HAIRSRAY (among others) Showtime Acting: Process & Performance Classical Theatre Intensive (grades 8-12) Grades 9-12 Fall Senior Company Show: FLOW By audition only. Broadway Dance II (grades 7-12) Classical Theatre Intensive (grades 8-12) Broadway Voice Performance Workshop: Bluebeard Special Offerings Dance: Hip Hop/Tap (Grades K+) Costuming for the Novice Sewer (Ages 10+)

Winter Fall Spring Day

Saturdays Saturdays Saturdays Saturdays Saturdays Tuesdays, Wednesdays, and Thursdays Saturdays Saturdays Saturdays Thursday Tuesdays May 14, 15, 16, & 17

Start Time
12:00noon 10:30am 12:30pm 2pm 2pm

End Time
1:30pm 12noon 2:30pm 3:30pm 3:30pm

Cost
Fall/Winter $200 Spring $130 Fall/Winter $200 Spring $130 Fall/Winter $260 Spring $170 Fall/Winter $200 Spring $130 Fall/Winter $260 Spring $170

4:30pm 12:00noon 2pm 2:30pm 4:30pm 5:30pm 4:30pm

7:30pm 1:30pm 4pm 4pm 7:30pm 7pm 6:30pm

$460 Fall/Winter $200 Spring $130 Fall/Winter $260 Spring $170 Fall/Winter $200 Spring $130 $300 $130 $120

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The Childrens Theatre Company

2400 Third Avenue S

Minneapolis, MN

55404

(fax) 612.874.8119

Select Class title

Spring Samplings Grades K-3 (see below) Comedy Improvisation Dance! Sing Out! Onstage Musical Theatre Play Lab Grades 7-12 Pre-Professional Lab Program Design/Tech Lab

Winter Fall Spring Day

Tuesdays 4/09/13 4/16/13 4/23/13 4/30/13 5/07/13 5/14/13 Mondays

Start Time
5:30pm 5:30pm 5:30pm 5:30pm 5:30pm 5:30pm 5:30pm 4:30pm

End Time
7:00pm 7:00pm 7:00pm 7:00pm 7:00pm 7:00pm 7:00pm 8pm

Cost
$120 for all six $20 $20 $20 $20 $20 $20 $60/month

**Please make sure you have checked the selected box and the appropriate session box for every camp you are applying for.

The Childrens Theatre Company

2400 Third Avenue S

Minneapolis, MN

55404

(fax) 612.874.8119

Student Information
Name: Sex (circle one): Current address: City: Home Phone: State: E-mail (optional): Zip Code: M F DOB: School Grade:

Number of sessions previously enrolled in TAT classes:

1st Parent/Guardian Information

Name: E-mail: Current address: City: Occupation: Current employer: Select any that apply: Separated Single Parent Unable to Work Divorced Unemployed Deceased Work Phone: State: Zip Code: Phone:

2nd Parent/Guardian Information

Name: E-mail: Current address: City: Occupation: Current employer: Select any that apply: Separated Single Parent Unable to Work
The Childrens Theatre Company

Phone: State: Work Phone: Divorced Unemployed Deceased

2400 Third Avenue S Minneapolis, MN 55404 (fax) 612.874.8119

Zip Code:

Other Dependent Children (Not including Student Enrolling in CTC Courses)

Name: Name: Name: Age: Age: Age: School/College: School/College: School/College: Tuition Paid by Parents: ___________ Tuition Paid by Parents: ___________ Tuition Paid by Parents: ___________ Aid Received by Parents: __________ Aid Received by Parents: __________ Aid Received by Parents: __________

List other dependents, if any. Include any non-income generating family members that rely on your household for financial support. In case of dependents living outside of your home, please indicate approximate 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. Your adjusted gross income can be found on: IRS Form 1040 IRS Form 1040A IRS Form 1040EZ Telefile line 37 line 47 and 52 line 11 K(2)

___________________________________________________________________________________________ ___________________________________________________________________________________________
Are there any other funds that might be applied to the candidates education such as legacies, gifts, trust funds, educational insurance, alimony, other scholarships? Explain:

Who assumes responsibility for the payment of tuition and other expenses?

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. Our goal is to help our students develop their imaginations, voices and bodies by teaching theatre skills that help them grow both as artists and as people. As a potential recipient of a scholarship, you must meet the following expectations. This will ensure that you receive the best possible experience and that the Childrens Theatre Company makes the best use of its limited financial resources.

Student Expectations
1) 2) 3) 4) You will attend all classes for which you are registered. If you are unable to attend a session, you or a parent/guardian must call the Education Office at 612.879.5699 at least one hour before class begins. You will be on time for all classes. You will bring appropriate materials/attire to all classes. You will practice and prepare for each lesson according to requirements of the class.

I understand and agree to fulfill these expectations. Student signature _________________________________________ Date ______________

Parent/Guardian Expectations
1) 2) 3) 4) You will ensure that the financial aid recipient attends all classes for which they are registered. You will ensure that the recipient is on time for all classes. You will ensure that the recipient brings appropriate materials/attire to all classes. 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 in classes. I certify that I have provided current, accurate and truthful information. I understand that, should I receive a scholarship I will be responsible for paying any tuition balance and applicable fees by the indicated deadlines. I have read the expectations outlining attendance and other guidelines. Parent/Guardian signature __________________________________ Date ______________

The Childrens Theatre Company

2400 Third Avenue S

Minneapolis, MN

55404

(fax) 612.874.8119

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Mailing Checklist
Before mailing, have you included:

One (1) completed copy of Scholarship Request Form One (1) copy of the front page (or page showing AGI) of your most recent income tax return. One (1) copy of the Letter of Agreement signed by both the student and a parent/guardian.
Please do not include a class registration form or any payment at this time. We will provide information on how to register with your scholarship determination.

Thank you for your interest in Theatre Arts Training classes. If you have any questions please contact Debra Baron at: dbaron@childrenstheatre.org or 612.879.5699

The Childrens Theatre Company

2400 Third Avenue S

Minneapolis, MN

55404

(fax) 612.874.8119