Changing Lives Scholarship

DEADLINE TO APPLY: January 23, 2023

ELIGIBILITY: Students must be accepted to the 2023 5-Week Summer Ballet Program following application.

Applicant Name*
First Name Last Name
Age*
Date of Birth*
Home Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Home Number*
Mobile Number*
Parent/Guardian Information
Please fill out the parent/guardian section if applicant is under the age of 18.
Parent/Guardian Name
First Name Last Name
Parent/Guardian Home Address
Street Address City State / Province / Region ZIP / Postal Code Country
Parent/Guardian Home Number
Parent/Guardian Mobile Number
Parent/Guardian Email
Financial Information
Enter the expected combined gross annual income (before taxes) for members of the student's household for the calendar year 2023.*
Enter the number of persons in the student's household who are provided for by this income.*
Explain any unique family expenses or circumstances. If none, enter N/A.*
Explain any unique family expenses or circumstances. If none, enter N/A.
Agreement
I understand only students who have been accepted to the 2023 5-Week Summer Ballet Program can apply for tuition scholarship assistance by the January 23, 2023 deadline. I understand that after January 23, 2023, the scholarship application will no longer available. Scholarship recipients are required to sign a mutual agreement upon acceptance of a scholarship.
Agreement*
- I Agree
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Name
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Parent/Guardian Information