SCHOLARSHIP APPLICATION

To be considered for a Rasmussen Theatre Scholarship, you must submit the scholarship application and schedule a time for an audition and/or portfolio review. In addition to this application, students must also submit their most recent school transcript as well as three letters of recommendation (one letter may pertain to general character, but two should attest to the applicant's interest and capability in theatre production and/or performance. These materials should be sent directly to: Theatre Department, OG 051, Indiana University Southeast, 4201 Grant Line Road, New Albany, IN 47150. Your application file will not be considered complete without a transcript and letters of recommendation.

If you do not wish to submit this information online, you can download a PDF version of the application
and mail to the Theatre Department

NAME

Last*: First*: Middle:

IU Student ID Number*: OR Last 4 digits of U.S. Social Security Number:

*If you have not yet been issued an Indiana University Student Identification Number, please contact the IU Southeast Admissions Office at (812) 941-2212 or e-mail admissions@ius.edu. Students wishing to be admitted to the Music Department must also be admitted to Indiana University Southeast through the IU Southeast Admissions Office.

Birth Date (MM/DD/YYYY): / /

ADDRESS

Permanent Address

Street*:

City*: State*: Zip*:

Permanent Phone* (XXX-XXX-XXXX): E-mail*:

Current/Local Address(if different from above)

Street:

City: State: Zip:

Current/Local/Alternate Phone (XXX-XXX-XXXX):

ACADEMIC INFORMATION

High School

Name of High School:
Colleges you have attended:

College credit-hours completed:

Indicate your cumulitive Grade Point Average (GPA): High School: College:

THEATRE EXPERIENCE

If you have any college-level experience relevant to work in theatre, please summarize:

List any special academic or theatre awards you have received:

List performance and/or production experience that you have had:

Role or Responsibility	Play or Production	Performance Group & Place

SPECIFIC INTERESTS

Rank at least three of the following (and as many more as you wish). Indicate your primary interest with a 1, your second interest with a 2, etc.

acting	singing	dance	design
lighting	properties	management	sound
costumes	set construction	set painting	promotion
other (specify):

CREDENTIALS

In addition to this application, students should provide a copy of their most recent transcript and a minimum of three letters of recommendation. One of these letters may pertain to general character, but two should attest to the applicant's interest and capability in theatre production and/or performance.

These materials should be sent directly to:

THEATRE DEPARTMENT, OG051
INDIANA UNIVERSITY SOUTHEAST
NEW ALBANY, IN 47150

   I have requested a copy of a transcript be sent to the Theatre Department
   I have sent a copy of my transcript to the Theatre Department
   I will request a copy of a transcript be sent to the Theatre Department
   I will send a copy of my transcript to the Theatre Department

   I have requested letters of recommendation be sent to the Theatre Department
   I will send letters of recommendation to the Theatre Department