MCKENNA-MANN PERFORMING ARTS
SCHOLARSHIP APPLICATION
This scholarship fund is a component fund of the
To be considered, this application must be completed in full. Please type or print in ink.
Return to the Guidance Office at Antigo Senior High School by the last school day in April.
Please provide two reference letters.
Eligibility and Criteria for Selection:
Graduating senior of Antigo Senior High School who has distinguished themselves
in the performing arts, including theater production, and has been accepted for admission and plans to attend an accredited college or
university as a full time student. This scholarship recognizes the student's efforts and accomplishments in the performing arts.
Name of Applicant: _________________________________________________________________
Home Address: ____________________________________________________________________
_____________________________________________________________________
Phone: _______________________________ E-Mail: ____________________________________
Father’s (Guardian) Name: ___________________________________________________________
Mother’s (Guardian) Name: __________________________________________________________
High School Attended: ______________________________________________________________
Class Rank _______________ of _________________
Graduation Date: ____________________
Junior High Attended: _______________________________________________________________
Name, address, and telephone number of school you plan to attend next fall:
School:
_________________________________________________________________
Address:
_________________________________________________________________
_________________________________________________________________
Phone :
_________________________________________________________________
Major field of study you intend to pursue: ______________________________________________
Career Goals: ____________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
On a separate sheet of paper, provide the following information:

How have you distinguished yourself in the performing arts? Describe your involvement in the
performing arts, including theater production/s. (Attach additional sheet of paper if necessary.)

List any activities you have participated in, including any extra-curricular activities, community
programs, or work experiences. Offices or positions held, as well as any honors or awards
received should be indicated. Attach additional sheet of paper if necessary.
If you have applied for any other scholarships, list each source to which you have applied, indicating if
you have received notification on whether or not you have secured the award.
Scholarship Name
Dollar Amount
Secured
________________________________________________
_$______________  yes
 no
________________________________________________
_$______________  yes
 no
________________________________________________
_$______________  yes
 no
________________________________________________
_$______________  yes
 no
Your signature below indicates that all information submitted is true to the best of your knowledge. Your signature
also indicates that you give your permission to the Community Foundation of North Central Wisconsin to use your
name in public listings and announcements of scholarship if selected.
____________________________________
Signature of Applicant
____________________________________
Signature of Parent or Guardian
____________________________________
Date
____________________________________
Date
Completed application, and two reference letters, must be received in the Antigo High School
Guidance Office by the last business/school day in April to qualify for consideration.
Questions or requests for further information can be directed to the Community Foundation office.
500 First Street, Suite 2600, Wausau, WI 54403
715.845.9555 / info@cfoncw.org / www.cfoncw.org
The Community Foundation reserves the right to request additional information or documentation from the applicant if necessary.