23|24 InterACT Scholarship Application

First Name

Last Name

Email Address

Phone

Home Address

City

State

Zip Code

Date of Birth

MM/DD/YYYY

Student Status

Check the box(es) corresponding to your study status in Spring of 2024

High School Senior

College Freshman

College Sophomore

College Junior

College Senior/Graduate Student

Current GPA

College/University attending Fall 2024 and Major/Minor

Volunteer Hours

Please summarize your involvment with LCP/the Academy - including the total hours you have accumulated and the tasks/events etc. you have helped with or roles you have played within the organization. *Reminder that you should have also submitted a more detailed log of your hours through our hours log portal - for questions regarding this, please email education@lakecountryplayhousewi.org

Personal Statement

Please tell us why you should be awarded this scholarship. Please include details of your connection to LCP and your intent to pursue theatre/ the arts through your degree.

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to acceptance into the internship program, I understand that false or misleading information in my application or interview may result in my release.