TUPELO COMMUNITY THEATRE

SCHOLARSHIP APPLICATION

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Please check the scholarship you are applying for

Liveakos_____   Huddleston_____   Geddie_____

Personal Information

Name ________________________________________________________________

Address _______________________________________________________________

City, State, Zip ___________________________________________________________

Phone (Day) _______________________ Phone (Evening) ________________________

Email Address___________________________________

What is your GPA? ________(Minimum 2.5 Required-Official transcript must accompany application)

  Please answer the following questions on a separate piece of paper.

!.  Describe dramatic or arts activities you have been involved in, including any with TCT.

     Include on and off stage or back stage duties or speech/communication activities.

2.  Describe any awards, recognition or honors you have received.

3.  Describe your other school and community activities.

4.  Please list three references:   include two faculty members and someone from the community.

Name

_________________________________

_________________________________

_________________________________

Phone Number

_________________________________

_________________________________

_________________________________

5.  In 200 words or less describe why you are applying for a TCT scholarship..

6.  List other information you would like the committee to know about you.

Scholarship applications should be mailed to:

Applications may be brought by the TCT Business Office at 200 N. Broadway during regular hours.

Telephone number 662-844-1935 Email address 1tct@bellsouth.net  Website www.tct.ms

Applications must returned to TCT no later than April 15th of the award year.