Fox Cities P.A.C. Student Support Fund | Fox Cities Performing Arts Center

Thank you for your interest in attending a Fox Cities Performing Arts Center performance. Please complete the scholarship request application and submit it to the Fox Cities Performing Arts Center's Community Support Committee. Call our administration office at (920) 730-3782 if you have any questions.

School or Organization: *

Contact: *

Street Address: *

City, State, Zip: *

Daytime Phone Number: *

Fax Number:

E-mail:

Performance you would like to attend (FIRST CHOICE): *

Be sure to include the title, date and time of the performance you are requesting to attend.

Performance you would like to attend (SECOND CHOICE): *

Be sure to include the title, date and time of the performance you are requesting to attend.

Total number of tickets needed: *

Number of tickets requested for scholarship assistance: *

Grade level and brief description of students that would attend: *

Explain why your school or organization is in need of scholarship assistance: *

Include number of students receiving free or reduced lunch or other factors that affect your students' access to the performing arts.

Explain how this experience would benefit the students: *

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