Scholarships App

Jessie L. Richardson & Sid Williams Memorial Scholarships
APPLICATION FORM
(or pdf. version)
Applicants, or their parent(s), must be current members of Theatre BC.
Recipients will be announced at the MAINSTAGE Awards Ceremony.

Name: ______________________________________________________________________________

Mailing Address: ______________________________________________________________________

_______________________________________________________ Postal Code: _________________

Telephone: 1) ________________________________ 2) ______________________________________

email address: ________________________________________________

Social Insurance Number________________________________________

Date of Birth: ______________________ Marital Status: ______________

Theatre BC Club Card Membership Number (yours or a parent's) :

How long have you resided in B.C.? ____________________ Years/Months

What is the name and location of the school and course of study to which you have applied?

____________________________________________________________________________________

Estimated Expenses for Theatre Studies

Tuition Fees:		$_______________
Books & Supplies:		$_______________
Room & Board:		$_______________
Transportation:		$_______________
Miscellaneous (Please itemize):
_________________		$_______________
_________________		$_______________
_________________		$_______________
	TOTAL:	$_______________

Please indicate your previous employment experience:

Employer and Address: _______________________________________________________________

___________________________________________________________________________________

Dates of Employment: ________________________________________________________________

Type of Work: _______________________________________________________________________

If under 19 years of age, please list full name(s) and address(es) of your parent, guardian or sponsor:

___________________________________________________________________________________

Are there any special circumstances which make it necessary for you to apply for assistance? Please explain:
___________________________________________________________________________________

___________________________________________________________________________________

Have you applied for a Canada Student Loan? __________________________________

If yes, indicate the Province or Territory through which you applied: _________________

Please Attach:

TWO Letters of Reference from people who are familiar with your interest and experience in theatre;
A letter of acceptance, or a confirming receipt of registration from a recognized Canadian theatre school or post-secondary theatre department. (Grade 12 applicants will understandably be unable to give prof of acceptance until provincial examination marks have been received)
A letter stating your reasons for pursuing further theatre training.
A statement of theatre experience or theatre resume with specific reference to previous community theatre involvement.

DEADLINE For Receipt of Applications: Monday, June 2nd, 2008

I hereby declare that the above information is to the best of my knowledge correct and complete.

___________________________________________________ Date: ___________________________
Signature of Applicant

Please List Attachments: