Scholarship Application Can you afford to contribute some money towards your workshop fee? YesNo If yes, how much can you contribute? $ All information you supply is confidential. If you are applying for a full scholarship or a partial scholarship, you must complete the information below. Thanks! Your Name * Your Child's Name Address * City * State * Zip * Your Email * Employer(s) Telephone Home Mobile Class(es)& Dates: Reason for applying for a scholarship: Monthly Income (include sources): Total Monthly Income Amount Tell us about your interest in video production: Image Code: Δ