Indian Hills Community College | Performing Arts Scholarship Form

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Birth Date *

Parent's Names *

High School *

Graduation Year *

Anticipated Start Date at Indian Hills *

Spring 2019

Summer 2019

Fall 2019

Winter 2019

Spring 2020

Have you already applied for acceptance to Indian Hills? *

Yes

No

I plan to audition/interview for a scholarship in: (check all that apply) *

Acting

Technical Theatre

Choir

Jazz Band

Piano

I would prefer to audition on (date):

Please provide a summary of your performance experience and training. *