820 Main St. Rte 6A, PO Box 2001, Dennis, MA 02638
firstname.lastname@example.org 508-385-3838 FAX 508-385-8162
HELEN POND AND HERBERT SENN SCHOLARSHIP
(type or print)
(First) (Middle) (Last)
(No.and Street, Box No.) (Town) (St) (Zip Code)
Telephone( ) Email Address
OBJECTIVES. Write a 250-word essay including your academic and career objectives in scenic design/backstage arts, your reason for wanting to pursue them, your school/work experiences until now, and your goals for the future.
EDUCATION. List educational institutions you have attended. Official academic transcripts must be sent to:
Cape Playhouse, P.O. Box 2001, Dennis MA 02638.
Name of Institution Major Dates Attended Number of Credits Completed
EXPERIENCE. List experience related to scenic design/backstage arts. Begin with the most recent.
Name and Address Your Position Dates
REFERENCES. On a separate sheet, list the name, title, address and telephone number of
two (2) confidential letters of reference (from teachers, employers or community leaders).
Please have the letters sent directly to the Scholarship Committee.
CERTIFICATION: I certify that the information given in this application is complete and accurate.
Signature of Applicant Date
Application, official college transcripts, and references must reach the committee no later than February 28.
Mail all to: Cape Playhouse Scholarship Committee, P.O. Box 2001, Dennis MA 02638