Scholarship Application

STUDENT & PARENT/GUARDIAN INFORMATION

Name of Student *

First

Last

Student age *

Academic School *

Name of the academic school student is currently enrolled

Grade *

Name of Parent/Guardian *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone *

Home Phone

Student Email *

Parent Email *

FINANCIAL STATEMENT

Do you receive governmental aid? (i.e. Welfare, Medi-Cal, SSI or SSA) *

Yes
No

How many family members in your household? (Include all persons living at your address) *

What is your total annual household income? *

Briefly list all sources of income from your household *

Where are you employed? *

Are you a single parent? *

Yes
No

Briefly describe your reason for needing a scholarship for the student *

AMOUNT & VALUE OF SCHOLARSHIP

Please check the level of funding you are requesting *

PARENT/GUARDIAN STATEMENT

1. Tell us about the student and their experience with dance. Do you see a future in dance for them? *

2. Tell us how and why you support the student's talent. *

3. Has the student received tuition scholarships in the past? How much and from where? *

STUDENT STATEMENT

1. Tell us what dance means to you. *

2. What kind of dance do you like best and why? *

3. What is it like to study dance? Why do you like it? *

4. What is your dream about dancing in the future? *

Student's Signature *

Date *

I/We attest that all information on this form, and the supplementary documents that we provided, is accurate.

Parent/Guardian's Signature *

Date *

EXPECTATIONS FOR SCHOLARSHIP RECIPIENTS

1. DEDICATION AND COMMITMENT TO HARD WORK:
Work hard in every class and make a consistent effort toward improvement.

2. COMMITMENT TO PROFESSIONALISM:
As a recipient of an ODT Scholarship, it is important that you conduct yourself in a professional manner.

3. MANDATORY ATTENDANCE:
Prior notification and dance studio director approval is required for any missed classes due to extenuating circumstances such as illness, school event or family emergency.

TERMS OF THE AGREEMENT FOR SCHOLARSHIP RECIPIENTS

I/WE UNDERSTAND THAT THIS IS A BINDING AGREEMENT.

I/WE AGREE THAT IN THE EVENT THAT THE SCHOLARSHIP RECIPIENT AND/OR PARENT/GUARDIAN BREAK THE TERMS OF THE CONTRACT (EXCEPT IN THE CASE OF PREVIOUSLY APPROVED EXTENUATING CIRCUMSTANCES), THE SCHOLARSHIP AGREEMENT BECOMES VOID AND THE RECIPIENT/GUARDIAN MAY BE HELD RESPONSIBLE FOR THE AMOUNT OF THE SCHOLARSHIP RECEIVED.

WE AGREE TO COMPLY WITH THE ABOVE TERMS AND CONDITIONS.

Student's Signature *

Date *

Parent/Guardian's Signature *

Date *

1. Print the Studio Teacher Recommendation Form

2. Have your teacher complete and sign it; and

3. Upload it, where indicated below:

Required Attachments and Links

Upload Completed & Signed Studio Teacher Recommendation Form here: (accepted file formats are .png, .jpg, .jpeg, .pdf) *

Click or drag a file to this area to upload.

Upload Most Recent IRS Tax Return here: (accepted file formats are .png, .jpg, .jpeg, .pdf) *

Click or drag a file to this area to upload.

1. The applicant needs to create a video that must include a dance combination in each of the following forms: Ballet, Jazz/Contemporary, Hip-Hop and Tap.

2. Upload the video to YouTube

3. Copy and paste a link to the YouTube video into the text box below.

Paste Application YouTube Video link here *

Scholarship Application

STUDENT & PARENT/GUARDIAN INFORMATION

FINANCIAL STATEMENT

AMOUNT & VALUE OF SCHOLARSHIP

PARENT/GUARDIAN STATEMENT

STUDENT STATEMENT

EXPECTATIONS FOR SCHOLARSHIP RECIPIENTS

TERMS OF THE AGREEMENT FOR SCHOLARSHIP RECIPIENTS

Required Attachments and Links

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