Scholarship Application CCTA Scholarship Application 2022 Please take the time to fill out this scholarship application in order to be considered for a tuition-based scholarship for the CCTA’s 2022` Season. This application must be filled out and approved prior to registering as a scholarship individual for a class. A COMPLETE APPLICATION MUST INCLUDE all information:1. This scholarship form, including two personal references, and all income.2. A short statement of need from the parent/guardian3. A statement of performance goals and achievements from the student If anyone has any questions about anything on this application, please do not hesitate to contact our office directly at 410-381-0700 or finance@cctarts.org PROGRAM INFORMATION Please designate the CCTA program you are applying for a Scholarship STUDENT INFORMATION Student’s First Name Student’s Last Name Address City State Zip Code Student’s Birth Date Age Student’s School Current Grade STUDENT ACHIEVEMENTS Please list any and all achievements, honors, clubs, or organizations your child has or is currently participating in PRIMARY PARENT/GUARDIAN INFORMATION First Name Last Name Phone Email Place of Employment Tenure of Employment Part TimeFull Time Salary (Annual) Additional Income (alimony, welfare, unemployment, etc.) How many dependents? SECONDARY PARENT/GUARDIAN INFORMATION First Name Last Name Phone Email Place of Employment Tenure of Employment Part TimeFull Time Salary (Annual) Additional Income REFERENCE 1 First Name Last Name Phone Email REFERENCE 2 First Name Last Name Phone Email STATEMENT Please write a statement of need below telling us why you need to apply for this scholarship. PARENT/GUARDIAN Statement of Need Performance Goals/Achievements from STUDENT Page 3 SIGNATURE By checking this box I certify that the information on this application is complete and correct. I understand that all documents submitted for consideration for a Columbia Center for Theatrical Arts scholarship become the property of the Columbia Center for Theatrical Arts and will not be returned to me, or duplicated for me, for any reason. I agreeI disagree Date reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Information