All applicants must submit the following information by December 31, to Scholarship Committee Chair Irina Niculescu at inniculescu@gmail.com

 Your Contact Information

Name: ________________________________

Email address: _________________________

Postal address:

   Street ________________________________

   City _________________________________

   State ________________________________

   Zip Code ____________________

Day Phone: _______________

Night Phone: _______________

Fax: _______________

Date of Birth: ______________

Place of Birth: __________________________________

Are you a citizen or permanent resident of the United States? (circle one)     Yes     No

Are you a member of UNIMA-USA?*  (circle one)     Yes     No

* Note that you do not need to be a member in order to submit an application, but will be required to become a member if you receive a scholarship grant.

Program you wish to participate in, or festival you wish to attend:

___________________________________________________________________________

Date(s) of program or festival: __________________________________

Tuition or registration fee: _____________________________________

 Essay

Answer the following 3 questions on a separate sheet:

1. What is your experience in the field of puppetry?

2. Briefly describe the program or professional with whom you wish to study, or the festival you wish to attend.

3. Why do you wish to study with this particular program or professional, or attend this particular festival?

 Resume (Please attach your Résumé)

Three letters of Recommendation

Include three letters of recommendation from professionals in your field. Recommendations from professional puppeteers are preferred, but letters may come from teachers, theater professionals, or others who can speak about your work in puppetry.

 Include five photos of work completed