The Carnegie Players, P. O. Box 173
Name__________________________ Date of Birth______________
Address________________________ Phone___________________
Father's Name ___________________ Occupation_______________
Mother's Name ___________________ Occupation _______________
Name and city of the college you wish to attend __________________
________________________________________________________
Intended course of study or major_____________________________
Have you applied?___________ Have you been accepted?__________
Provide an anticipated expenses for the first year of college.
Tuition ____________ Room and Board _________________
Books, supplies_____________ Other expenses __________________
List any anticipated sources of financial support for college ___________
__________________________________________________________
ON A SEPERATE PIECE OF PAPER PLEASE PROVIDE THE FOLLOWING INFORMATION
1. List of names of the places where you have been recently employed.
2. List of extracurricular school, community,and church activities you participated
in during school (specifically noting involvement in the performing arts)
3. Provide a brief paragraph describing your career goals, your family situation,
any financial problems you may be facing, and how the performing arts have
impacted you.
Applicant's Signature_____________________________________________
Parent/Guardian Signature________________________________________
