Scholarship Application

provide all requested information

 

Christi’s Advanced Dance 

Aura Mancilla Dance Scholarship Application 

2019-2020 

Deadline: This application form and all other required documentation must be received by July 31, 2019 (5:00 p.m. pacific time). E-Mail to: christi@advanceddancestars.com Questions? Call 619.318.9871 (9 a.m. – 5 p.m. weekdays) https://advanceddancestars.com/

Required fields are indicated by an asterisk (*).

Eligibility: Students must meet these criteria to be eligible. Please initial.

  1. ____* I am a student at a CAD school.
  2. ____* I (and parent) will volunteer after class and at all performances.
  3. ____* I understand that if I don’t complete the session for which I am applying, I will repay the cost in full.
  4. ____* If chosen for a scholarship, I will attend the full session (and any performances) for which I am applying.
  5. *Name:
    1. First name*-- Middle name(s) -- Last name*:

___________________________________________________

  1. If it is different than your formal name, what do you prefer to be called?:

___________________________________________________

  1. *Have you won an CAD scholarship in the past? 

___Yes (Year: ________ ) or ___ No.

7.  *Home address:.

*Address: ________________________________________________________

Address: _________________________________________________________

*City: _________________________________*State: _____ *ZIP: __________

8. *Primary telephone: (________) ______________________

9. Secondary telephone: (________) _____________________ Extension: ______

10. E-mail: _____________________________________________

11. *Date of Birth (MM/DD/YYYY): _______/ _______/ ___________

12. Parents: Please kindly provide a short one-page explanation of your need for a scholarship.

13. *What school do you currently attend?

*Name: ___________________________________________________

*City: _______________________ *State: _____ *ZIP: __________

Phone number: (________) ______________________ GRADE:___________

14. List any other extra-curricular activities you and your family members participate in and the cost of each per year: (add a separate page if needed).

19a. Name: _______________________________________________________

City: _______________________ State: _____ Years: ______________

19b. Name: _______________________________________________________

City: _______________________ State: _____ Years: ______________

19c. Name: _______________________________________________________

City: _______________________ State: _____ Years: ______________

15. a. *The Essay: (parents can help if student is still learning to write)

What does the scholarship committee need to know about you in 100 words or less? The committee members will be especially interested in these points: your most notable qualities, your attitude about dance, and what teamwork means to you. 

Attach your essay to this form. The essay is limited to no more than 100 words.  

b. letter of recommendation from your teacher, or if new to school, your parents.

16. *Certification Statement:

By signing my name below, I confirm that all of the information provided above and in the accompanying documents is true and correct to the best of my knowledge.

Signed:___________________________________Date:_______________

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