ACTORSINGERS MEMORIAL SCHOLARSHIP APPLICATION


Name:_________________________________________________________  Age:____________

Address:______________________________________________________  Phone:__________

Name of High School:_________________________ Expected graduation date:_________

Institution planning to attend:_________________________________________________

Address:_________________________________________________  Phone:_______________


1)  List all of the following that apply. Include length of service and
    awards/special recognition received for each. (If additional space is
    needed, attach 8-1/2 x 11 sheet of paper. Clearly indicate category at top.)


    Actorsingers Activities:



    Volunteer/Community Activities:



    Membership in Other Organizations/Clubs/Hobbies:



    Employment:



    Academic Honors:



    Performance/Public Speaking:



    Other:


2)  Three Paragraph (minimum) Essay on what applicant has learned
    the most while performing.

3)  Attach letter from present school describing academic record over 
    last two years.

4)  Attach Letters of Recommendation (2 minimum) from non-family, 
    non-Actorsinger members


Applicant Signature: ___________________________________  Date:_________________


All scholarships awarded regardless of sex, religion, 
or national origin of applicant.


Send completed application to:

Stanley M. Polan
Scholarship Chairman
25 Wethersfield Rd.
Nashua, NH 03062