Changing Lives Scholarship

Application Deadline: August 10

Scholarship applications are currently being accepted for tuition assistance during the 2023-2024 Academic Year Program.

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 first completed a registration for the 2023-2024 Academic Year Program can apply for tuition scholarship assistance by the August 10 deadline. I understand that after August 10 the scholarship application will no longer available. Scholarship recipients are required to sign a mutual agreement upon acceptance of a scholarship.
Agreement*
- I Agree
Agreement
- Check here to also be considered for tuition assistance for the 2024 5-Week Summer Ballet Program. You will not need to complete another application. CPYB will contact you for any updates to your financials or circumstances prior to that submission deadline (January 22).
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Phone
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Changing Lives Scholarship

Application Deadline: August 10

Parent/Guardian Information

Financial Information

Agreement

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