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Light House Scholarship Application
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* Indicates required question
Name of student:
*
Your answer
Age of Student
*
Your answer
Which workshop/camp are you interested in attending?
*
Your answer
In 2-3 sentences, please tell us: why are you interested in this workshop? Do you have any prior filmmaking experience?
*
Prior filmmaking experience is not required. If you have past experience at Light House, please note that.
Your answer
Parent / Guardian Name(s)
*
Your answer
Parent/Guardian Email Address
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Select the category that best fits your household earnings per year:
*
Choose
Under $10,000
$10,000 - $20,000
$20,000 - $30,000
$30,000 - $40,000
$40,000 - $50,000
$50,000 - above
How many adult earners are there in your household?
*
Choose
0
1
2
How many dependents are in your household?
*
Choose
1
2
3
4
5
6+
Please select the percentage of scholarship that you NEED for your child to attend this workshop.
*
Please know that we have a limited number of scholarships available.
Choose
10% Scholarship
20% Scholarship
30% Scholarship
40% Scholarship
50% Scholarship
60% Scholarship
70% Scholarship
80% Scholarship
90% Scholarship
100% Scholarship
In 5 sentences or less, please explain how you would benefit from this scholarship.
*
Your answer
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