Austin Public Scholarship Scholarship Intake Form

Overview: Committed to freedom of speech and expression, Austin Public is pleased to offer a sliding scale scholarship program for Producer subscription and certification level courses to ensure that regardless of financial resources, members of the community have access to the means of production and an avenue to assure that their voices are heard.To be considered for fee reductions and/or waivers, applicants must:

Attend an Austin Public Orientation session (to find the next session visit https://www.austinfilm.org/classes-events/)
Complete the application below
Provide the appropriate documentation to demonstrate financial hardship (use upload link below).

**Completing an application does not guarantee reduced or waived fees.** All scholarships are awarded on the basis of availability and financial need. Applications will be reviewed in the order in which they are received. If you have any questions, please email austinpublic@austinfilm.org.

APPLICANT INFO

First Name

Last Name

Address Line 1

Address Line 2

City

State

Postal Code

Phone

Birthdate:

Have you attended an orientation at Austin Public within the past two years?

YesNo

If you have attended an Orientation at Austin Public, please provide the approximate date.

Are you currently an Austin Public Producer?

Yes, I am an actively subscribed ProducerNo, I am not an actively subscribed Producer No, but I was previously an active Producer

In 300 words or less, please explain how you intend to use the media training, access to resources and content distribution you'll receive at Austin Public, and why you should be selected to have your fees reduced and/or waived.

How do you intend to use the studios if you selected any of the studios? If you did not select the studios then type "NA"

How do you intend to use the Blackmagic Multi-Cam kits if you selected that choice? If you did not select the multi-cam then type "NA"

How did you hear about us?

ELIGIBILITY

To complete this application, please upload one of the following documents to determine eligibility for the Austin Public scholarship award:

Medicaid Notice of Case Action Letter from Texas Department of Health & Human Services
Supplemental Nutrition Assistance Program (SNAP) Notice of Case Action Letter from Texas Department of Health & Human Services (also known as Food Stamps)
Children’s Health Insurance Program (CHIP) Confirmation Enrollment Letter from Texas Department of Health & Human Services
Telephone Lifeline Program Enrollment Letter or Phone Bill Reflecting Lifeline Enrollment
Travis County Comprehensive Energy Assistance Program (CEAP) Notice of Payment Letter
Medical Access Program (MAP) Clinic Card
Supplemental Security Income (SSI) Award Letter
Copy of most recent income tax returns (please be sure to remove all social security numbers)

UPLOAD FILE BELOW: