Group Scholarships FORM | Midland Center For The Arts

Group Name *

Address (street, city, state, zip) *

Group Contact *

Email *

Phone *

Event and Date Requested *

Number of ADULT Tickets Requested *

Number of STUDENT Tickets Requested *

Please describe your group and its membership *

Describe the nature of your interest and what you hope to accomplish by having your group attend this event *

Reason for applying for scholarship support and additional comments *

Group Scholarships