ELT Scholarship Fund

Scholarship Form

Application for ELT's $1000 annual scholarship award

Name:

Address:

City:

State / Province / Region

ZIP / Postal Code:

Email:

New Field:

Phone:

High School/College - currently enrolled:

Theatre Experience:

New Field:

Essay Prompt:

How do you plan to continue your involvement with theatre arts while in school?:

Is there any additional information you would like to include? (Optional):

Letter of Recommendation:

Resume (Optional)

New Field:

This information provided is true and correct.

Free Text

Check box to verify that the information provided on this application is true and correct to the best of your knowledge.

New Field:

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(607) 735-2776

1000 Laurel St

Elmira, NY 14904