2013 Summer Scholarship Application Notice
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Due on or before March 15, 2013 2013 Summer Scholarship Application Notice: The $25 Application Fee and a copy of your most recent tax return are required and must be attached to this application to be considered. To further assist the committee’s decision, please send any relevant information concerning your financial needs. Due Date: This application form, $25 Application Fee, and supporting materials are due on or before March 15, 2013. Incomplete applications will not be eligible for consideration. Scholarship recipients will be notified by mail by May 15, 2013. Student’s name: ____________________________________________________ Birthdate: ________________________ State briefly your dance experience: Why are you applying for this scholarship? What is your future plan concerning dance? Parent or Guardian’s Names: Mother_________________ Father__________________ Address____________________________________________________________________ Phone #_________________________ Work #____________________________________ Place of Employment: Mother______________________________________________________ Father_______________________________________________________ Guardian_____________________________________________________ Parent’s Gross Income__________________________________________ Do you receive any type of child support? __________________________ If so, how much? ______________________________________________ Due on or before March 15, 2013 Name of Candidate_____________________________________________ Date of Birth_____________________ Present school grade_________________ Home address_______________________________________________________________ ___________________________________________________________________________ Father or guardian’s name and home address_______________________________________ ____________________________________________________________________________ Mother or guardian’s name and home address, if different______________________________ ____________________________________________________________________________ Candidate and other dependents: Amount of tuition Amount of Aid Name of child Age School or College paid by parent received by parent
Please list other dependents, if any. In the case of dependents living outside your home, please indicate approximate amounts of financial assistance rendered each year. Explain here any special family circumstances such as divorce, separation, unemployment, illness…. Father or guardian’s business________________________________________________________ Business address__________________________________________________________________ Name of firm or employer____________________________________________________________ Continued.... Due on or before March 15, 2013 Mother or guardian’s business_____________________________________________________ Business address_________________________________________________________________ Name of firm or employer__________________________________________________________ Please give these amounts for 2011 before deductions, a) Father’s earned income $________ b) Additional yearly income $_________ c) Mother’s earned income $_______ d) Additional yearly income $_________ e) Applicant’s earned income $________ f) Additional yearly income $_________ Are there any other funds that might be applied to the candidate’s education, such as legacies, gifts, trust funds, educational income, or alimony? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
Date_________________ Signed________________________________ Parent/Guardian Atlanta Ballet Centre for Dance Education | 1695 Marietta Blvd. NW, Atlanta, GA 30318 | P 404.873.5811 | atlantaballet.com Directory: uploads uploads -> 587 Return function, r i(X) r i(0) r i(1) r i(2) r i(3) 1 0 2 4 6 Thermal Station, I 2 0 1 5 6 3 0 3 5 6 10 uploads -> Department of science and humanities department of mathematics part-a questions and answers uploads -> The Case Against the nypd’s Quota-Driven ‘Broken Windows’ Policing What Is It? uploads -> For want of a nail uploads -> Ownership Models There are two different types of ownership models uploads -> Police Militarization uploads -> City of rising star regular meting thursday, july 14, 2016 uploads -> Township of winfield uploads -> Stop Militarizing Law Enforcement Act of 2014 uploads -> The Black Panther Party’s Ten-Point Program What We Want Now! Download 31.81 Kb. Share with your friends:
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