“Sex Signals” Scholarship Form We understand that some organizations and institutions lack the funding necessary to bring in “Sex Signals” at any of the prices listed above. For those groups, Catharsis Productions has some scholarships available. Depending on the amount of money needed, the flexibility of scheduling a date, and the interest and dedication of an interested group to make a “Sex Signals” a success, some financial resources are available every year to in-need institutions. Please fill the form below and send it back to Catharsis Productions if you would like to apply for financial aid. (If necessary, feel free to use more space at the end of the form to answer each question completely.) If you have questions, contact us at 773.832.4667. Thanks. Name: Position: Institution/Organization: Address: City/State/Zip: Contact Phone Number: Alternate Contact Phone: E-Mail Address: 1. Why would you like “Sex Signals” to present at your institution/organization? 2. What do you hope audience members gain from the presentation? 3. How large of an audience are you hoping for? What type of promotion/incentive do you plan on doing to guarantee an audience? 4. What type of programming have you already had or intend on having regarding the issues addressed in “Sex Signals?” 5. What date, month, or season do you hope to bring in “Sex Signals?” 6. How flexible are you with your dates? (What are there potential scheduling conflicts? How long it advance would you need if “Sex Signals” became available at a reduced rate?) 7. What is the maximum amount of funding you could find to bring in “Sex Signals?” (The higher the amount, the better the chance you might have for financial aid from Catharsis Productions.) 8. What makes finding funding for this program difficult? Please send using any of the methods listed below: Fax: 773.832.4662 E-Mail: info@catharsisproductions.com Address: Catharsis Productions, 700 N Green Street Suite 304, Chicago, IL 60642