REMEMBERING FABIAN: A YATS TUITION ASSISTANCE

Personal Data Sheet

 

STUDENT’S NAME__________________________________________ AGE___________

 

DATE OF BIRTH________________                GRADE ENTERING IN FALL___________

 

SCHOOL_________________________________________________________________

 

PARENT’S /GUARDIAN’S NAME____________________________________________________________________

 

ADDRESS__________________________________CITY_______________ZIP____________

 

PHONE____________________________CELL______________________________________

 

 

PARENT’S EMAIL____________________________________________________________

 

NUMBER OF ADULTS IN HOUSEHOLD_________

 

NUMBER OF CHILDREN UNDER 21 IN HOUSEHOLD___________

 

 

 

IS THE STUDENT ELIGIBLE FOR FREE OR REDUCED LUNCH?
YES________      NO_______

 

IF YES, PLEASE INDICATE

FREE LUNCH___________ OR REDUCED LUNCH___________

 

 

 

REASON FOR REQUESTING TUITION ASSISTANCE ______________________________

______________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

STUDENT’S NAME_____________________________________________

 

THIS IS A NEED-BASED TUITION ASSISTANCE. PLEASE INDICATE YOUR YEARLY INCOME. (If needed, use the chart below.)_________________________________

 

 

Please return the COMPLETED APPLICATION to include this PERSONAL DATA SHEET, along with the following attachments to the address listed below.

 

  1. The student (age 8 years and above) must write and submit a SENTENCE OR PARAGRAPH stating why he/she wants to participate in the YATS Summer Program. (Although previous experience on stage is not required, the student may include information about his/her experience/interest in the areas of dance, music, or theatre).

 

  1. A LETTER OF RECOMMENDATION from an adult who knows the student from his/her current school, community activities, or faith-based programs.

 

***BE SURE THE STUDENT’S NAME IS WRITTEN AT THE TOP OF EACH PAGE BEING SUBMITTED.

 

 

SEND COMPLETE APPLICATION PACKAGE TO:

 

REMEMBERING FABIAN

PO BOX 969

SLIDELL, LA 70459