Community Theatre Association of Michigan
Joyce Schultheiss Memorial Scholarship

Scholarship Application, 2008

This application is for the academic year ___________

Name _____________________________________Date of birth ____/____/____

Address_____________________________ City_______________ State_____ Zip______

Telephone ______________________ Email __________________________________

Member CTAM Theatre Group ____________________________________________

Marital Status ___________________ Number of Dependents ______

High School Name / Address_______________________________________________

Graduation Date ____ Size of Class ___ GPA - High School ___ GPA - College ____

High School Activities [List all major non-theatre activities and number of years of participation.
List offices held, honors received and/or prizes won. Attach a separate sheet if needed]
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

College Attended [List schools, addresses, dates and degrees] _________________________
________________________________________________________________________________

Note: This application cannot be accepted unless an official transcript, at the
applicant's expense, is attached.  Please do not submit application form without
an official transcript.

College Major _____________________ College Minor ________________________

Theatrical Area to be Considered at Auditions: _____Acting _____ Technical

Scholarships: [List scholarships previously held. List name, institution, dates, amounts] _________________________________________________________________________________
_________________________________________________________________________________

Theatre Activities: [List all theatre activities - roles played, crew assignments held, plays directed, etc.
Attach a separate sheet if needed] ________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Provide additional information that will assist the committee in the evaluation of your application. __________________________________________________________________________________
__________________________________________________________________________________

If you are a recipient, what school in Michigan will you attend? ____________________

Additional financial information may be requested from you/ your parents at a later date.

I HEREBY APPLY FOR A SCHOLARSHIP TO BE AWARDED BY THE
COMMUNITY THEATRE ASSOCIATION OF MICHIGAN

THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE.

Date ____/____/___ Signature _______________________________________

 

SUBMIT THIS COMPLETED APPLICATION
TO A CTAM MEMBER THEATER GROUP.
THEIR REPRESENTATIVE MUST COMPLETE THE FOLLOWING

THIS IS TO CERTIFY THAT BY ACTION OF THE BOARD OF DIRECTORS, THE ABOVE-
NAMED APPLICANT IS HEREBY NOMINATED FOR THE CTAM SCHOLARSHIP. WE
ALSO CERTIFY THAT WE ARE MEMBERS IN GOOD STANDING OF THE COMMUNITY
THEATRE ASSOCIATION OF MICHIGAN

Date ____/____/____

President _______________________________

Coach_____________________________

Theatre Group Name
__________________________________________________________________________

Theatre Group Address ______________________________________________________

COMPLETED APPLICATION & ALL SUPPORTING DATA
MUST BE POSTMARKED NO LATER THAN
FEBRUARY 18, 2008

MAIL COMPLETED APPLICATION, OFFICIAL TRANSCRIPT AND
$10 PROCESSING FEE TO:

LARRY RINK
CTAM SCHOLARSHIP CHAIRMAN
3702 NORMANDY
ROYAL OAK, MI 48073

Make your check payable to CTAM

By submitting this application, you are agreeing to abide by
the rules and procedures of the CTAM Scholarship Program

Break a leg!