820 Main St. Rte 6A,  PO Box 2001,  Dennis, MA 02638

                                                                                                  info@capeplayhouse.com       508-385-3838        FAX 508-385-8162        

HELEN POND AND HERBERT SENN SCHOLARSHIP

APPLICATION

(type or print)

Name                                                                                                                                                                                                        

                            (First)                                               (Middle)                                                       (Last)

Address                                                                                                                                                                                                  

                            (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