Joe Lefler Legacy Scholarship

The Joe Lefler Legacy Scholarship was created to support young people interested in performing for children and family audiences and who wish to attend the Kidabra International Convention.

Scholarship applicants must be under the age of 21. Scholarship awards must be used for conference registration, host hotel room, and travel expenses to attend the convention.

Note: applicants under the age of 18 must be accompanied by an adult.

To apply for the Joe Lefler Legacy Scholarship , please submit this form by July 1st.

Name*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Last Four Digits SS#*
Birth Date*
MM slash DD slash YYYY

Sex*
M
F
Home Phone
Cell Phone*
Email Address*

Enter the full name of Parent/Guardian/ or Nearest Living Relative (If you will be entering 2 parents, please list mother here and father below)*

Occupation*

Employer*

Work Phone
Father/Guardian/or Nearest Living Relative (If you entered Father above, please leave this blank)

Occupation

Employer

Work Phone
PERFORMING HISTORY (Click on the + to enter additional experiences)*
Describe your performance experience. From (mo / yr) To (mo / yr)

EXTRACURRICULAR ACTIVITIES – Last Four Years List all school activities in which you have participated (ex: student government, music, sports, clubs). Indicate grades of participation along with special awards, honors, and offices held. (Click on the + to enter additional activities)*
Year(s) F, S, Jr, Sr Activity Awards / Honors

COMMUNITY SERVICE – Last Four Years List all community volunteer service you have performed. Indicate all special awards and honors. (Click on the + to enter additional service)*
Year(s) F, S, Jr, Sr Type of Activity, Organization Awards / Honors

Short Discussion Questions:
It is recommended you use complete sentences and proper punctuation. Please answer each discussion question below using no more than 250 words.
Discuss your career goals.*
What/who had the greatest influence on you as a person?*
What sets you apart from your peers?*
Are there any special notes relating to financial need the committee should have?*

Short Discussion Questions:

COMPANY

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