Name *

Parent or Legal Guardian

First Name

Last Name

Address *

Parent's or Legal Guardian's current home address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

This phone number will be used for correspondence and communication to the parent or guardian of the student. Please list ONLY the phone number of the parent or guardian.

(###)

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Is the student currently enrolled as a student in the 402 Acting Academy Program?

Yes

No

Preferred weekly private coaching length?

Please indicate the desired length of your weekly private coaching session if approved. *Note: This is for private coaching only. Group classes have established designated lengths.

30 minute lesson per week

60 minute lesson per week

No preference

Please list one non-relative reference *

First Name

Last Name

Non-relative reference's phone number *

(###)

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Terms and Conditions *

I understand that by submitting this online financial aid application, I am by no means automatically entitled to any financial aid. I understand that this form is strictly an application, and will be reviewed by the 402 Acting Academy scholarship finance committee for approval or denial. *

I AGREE