Community Outreach Scholarship Application

Please submit this form and two reference letters by Friday, May 3, 2024. You must be a current member of Dance Alliance to apply for the scholarship.

Name: * First Last Address: * Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip Code Are you a current member of Dance Alliance?: * Yes No What county do you live in? Home Phone: - Area Code Phone Number Cell Phone: - Area Code Phone Number E-mail: * School Currently Attending (Academic) and grade or year and/or where you are working. * Dance Experience if any Please provide two references and their telephone numbers (One should be your dance teacher; the other may be an academic teacher, employes, coach, etc.): *

Plans for study at: * Contact Person’s Name: * First Last Email or Web Site: * School/program/workshop location: * CityState / Province / Region Contact Person's Phone: * - Area Code Phone Number Dates of Program: * Type of classes offered and by whom: * Total Cost of Summer Study: * Itemized expenses for tuition, room, board, etc: * ESSAY: In our own words, please tell us about yourself and how this scholarship will help you personally. How will this dance experience enrich your life and that of your community? Upload a File: type_submit_reset_36 SubmitReset