Fine Arts & Communication Scholarship Audition Request Form

Tell Us About Yourself

If you are interested in scholarships in Art, Mass Communications (Radio/TV/Newspaper/Magazine/Sports Media), Music (Vocal or Instrumental), or Theatre (Performance or Technical) you will need to complete an audition. It is recommended, but not required, that students who request an audition have applied and been accepted to Butler Community College. Your Student ID number is required to process a scholarship, but you can still register without one.

Fine Arts Audition Days for the 2019-2020 school year will take place on February 15th and February 16th, 2019. To view scholarship audition requirements and help prepare for your audition, visit the Fine Arts and Communication Scholarships info pages.

Disclaimer: By submitting this application you certify that information contained in this application is true and complete. False information may be grounds for not receiving an audition/interview, or for immediate termination of a scholarship at any point in the future if one is granted. Any information listed on this form may be verified by Butler Community College employees or staff.

1. What is your first name? Required

2. Middle name? Required

3. Last name? Required

4. What is your email address? Required

5. What is your street address? Required Help: i.e. 901 S. Haverhill Rd

6. City Required

7. State Required

8. Zip Code (5 digit) Required

9. Home Phone Number?

10. Cell Phone Number?

11. What is your Butler ID number? Help: Providing a student ID number helps to process your application more quickly. If you have not yet applied for admission, please leave the default value.

12. Where did you go to High School? Required

13. What year did/will you graduate High School? Required

14. What is your anticipated or received Cumulative GPA for High School? Required Help: i.e. 3.75

15. What was your ACT/SAT score?

16. On which date would you like to audition/interview? Required

17. For which Activity would you like to audition/interview?

18. If you would like to audition/interview for a second activity, please select it from this dropdown.