Scholarship Application Form FDLCT Memorial Scholarship Application Your Name Phone Address City Email Parents School Grade Grade Point Average Years involved with Community Theatre Please list the Fond du Lac Community Theatre productions in which you have been involved and in what capacity (lead role, supporting role, ensemble, stage crew, lights, volunteer, etc) Do you have plans for continued involvement in theatre related activities? If so, please explain. List extra-curricular school and community activities you have participated in over the last few years. What are your future educational plans? Please attach a current photo.