Scholarship Application Form

Media Center is a non-profit organization responsible for enabling community members to use cable TV for the free expression of ideas. We teach people who live or work in the local COMCAST cable service area how to make their own non-commercial TV programs for cablecasting on Channel's 27 and 28.

Media Center charges nominal fees for classes, but will not turn anyone away for lack of funds. You can apply for a partial scholarship, if you can afford to pay half of the class tuition. You can also pay another partial scholarship amount (specified by you below), which is an amount you can pay for the class- any amount you can pay is welcome! Full scholarships are also available to those who qualify. After filling this out please schedule an appointment with the Executive Director.

Do you feel you can afford to take the class at a partial scholarship rate below?

Field Prod: $40 or *$ , Edit: $70 or *$ ,
Non-Linear Edit: $70 or *$ , Studio: $75 or *$

*I can make a payment in the amount of *$ .

(Amount you feel you can give. ANY amount is welcome! Fill in an amount in the space provided above, and give payment for class to Emilie Sweet.)

If you are applying for a full scholarship or a partial scholarship, you must complete the information below. Thanks!

Name:

Address:

City, State, Zip

Email:

Employer(s):

Telephone Home Work

Class(es)& Dates:

Reason for applying for a scholarship:

Monthly Income (include sources):

Total Monthly Income:

Monthly Expenses:

Total Monthly Expenses:

"Through a combination of superb studio facilities and a great crew of volunteers to staff the show we can bring more local poets to viewers and we can greatly broaden our audience. My thanks to everyone connected with the Media Center.”

RYLAND KELLEY
Producer,
"Live Poets Society"

Scholarship Application Form

SUMMER CAMPS FOR VIDEO PRODUCTION

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