Jack Benny Center for the Arts - Scholarship Application Form Please type or print neatly. Please read Scholarship Guidelines on the reverse side before completing this form. Complete scholarship application form, two letters of recommendation or...
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Jack Benny Center for the Arts - Scholarship Application Form Please type or print neatly. Please read Scholarship Guidelines on the reverse side before completing this form. Complete scholarship application form, two letters of recommendation or references, and proof of household income. The Waukegan Park District awards scholarships without regard to race, creed, color, sexual orientation, or national origin. Household Address City/Zip Student #1 Name DOB School/Grade: What Program is the Scholarship for? Student #2 Name DOB School/Grade: What Program is the Scholarship for? Student #3 Name DOB School/Grade: What Program is the Scholarship for? Mother’s Name: Phone: Address (if different from above): Father’s Name: Phone: Address (if different from above): Are you currently (or previously) enrolled in classes at Jack Benny Center? Yes No If yes, with whom and when did you study? Have any members of your family received a scholarship from the Center or the Park District? Yes No Who? W
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