Theatre Simpson Scholarship Form

Registration and applications due Friday, February 17.
Auditions and interviews are scheduled for Thursday, February 23, from 4-5:30 p.m.
or Saturday, February 25 from 10-11:30 a.m.
Please indicate your preferred date and time for an audition/interview

We will attempt to accommodate your preference.

Name:
Address:
City:
State:
Zip Code:
Phone:
Email:
Current School:
Current Drama/Speech Coach(es):
Name and relationship of reference letter writer:
In case of emergency contact:
Phone:
Relationship:
Scholarship information (please specify area of emphasis).
I will be:	Performing monologues Bringing a technical/design portfolio Both
Audition piece information:	Title Author
1.
2.
Intended major(s):
Intended minor(s):
Current GPA:
Class rank:
ACT score:
Have you applied to Simpson?	Yes No
Have you been accepted?	Yes No
Previous activities in performing arts (please be specific):
Please check each area listed below in which you have skill or experience:	Computers Graphic layout Plastics fabrication Bookkeeping Video production Patternmaking Welding Other secretarial Drawing or other art Sewing Publicity
Do you play a musical instrument?	Yes No
If so, what?
Do you have a relevant skill in other than those listed above?
Would you be interested in a workstudy position in the theatre department?	Yes No
What area(s) would you prefer to work [no previous experience necessary]	Sets Props Lighting Costumes Sound Audience Services Publicity
Explain your interest in theatre and describe the contribution you think you will make to Theatre Simpson next year.
I understand that in accepting an award I agree to support actively and regularly departmental programs that I am expected to be involved (in whatever way is most appropriate) in departmental production and that I am to maintain a GPA above 2.5 in departmental classes and a general GPA above 2.0
Signature:
Date:

Simpson College

Theatre Simpson Scholarship Form