Thank you for your interest in Florida Children’s Theatre’s classes, plays and summer camp. We make every effort to include all interested students, regardless of financial circumstances. Our Board of Trustees adopted a scholarship program based on the U.S. Department of Health and Human Service’s Federal Poverty Guidelines. This percentage program factors in household income and number of people in the family to determine the scholarship award. Please be advised that a copy of last year’s tax return is required. All family financial information will be kept confidential and is for scholarship award and reporting use only. Please fill out all information of this form and return it to the business office.
MM slash DD slash YYYY
Completion of this profile will allow Florida Children’s Theatre to report scholarship information to donors, help
secure funding and prepare final reports on grants to the Florida Division of Cultural Affairs, the Broward Cultural
Division, The City of Fort Lauderdale, and the National Endowment for the Arts.
(A copy of last year’s tax return is required. If you did not file a tax return (IRS 1040), your W-2 and a letter
explaining why you did not file taxes is required. The name of the child you are applying for must be on the tax
return. If it is not, then your tax return and the tax return with the child’s name on it must be filed.)
STUDENTS (AGES 8 AND UP): Please write a brief narrative statement telling us why you would like to attend FLCT. It must be signed and dated by the child (it may be sent by e-mail but from the child’s e-mail.)
Please write a brief narrative statement telling us why your child should be considered for a scholarship. Feel free to include any extenuating financial circumstances.
In the event this scholarship is awarded, a presentation to the recipient may be done at an FLCT event. Any presentation will be with the permission of the parent/guardian of the recipient.
Florida Children’s Theatre fully supports Equal Opportunity for all regardless of age, race, creed, sex, or ethnic
background. All applications become the property of Florida Children’s Theatre. All information on this application will be held in confidence.
Student Signature (if over 18 years)
This field is for validation purposes and should be left unchanged.