APPLY FOR A SCHOLARSHIP Applications for SUMMER 2025 scholarships must be completed by May 15, 2025. Child's Name * First Name Last Name Email * Date of Birth MM DD YYYY Child's Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Child Lives With * Family Size In Household * Parent Guardian (Mother) * First Name Last Name Parent/Guardian (Father) * First Name Last Name Parent/Guardian Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Parent Phone * (###) ### #### Primary Parent Email * Are you currently employed? Full time/part time * Employer * Total household monthly income (all adults) * Wages Unemployment Child support/alimony Food Stamps * Pension/Retirement * Has your child received any scholarships/sponsorships in the past? * Please tell us about yourself, your family and your little one who will be receiving a scholarship. * In the past 3 years have you gone through one of the following: bankruptcy, divorce, foreclosure? * What is your employment history like? * Is your child one enrolled in any other extracurricular activities? If yes, please list them below. * Please describe the reasoning of your financial need in 250 words or less. * What level is your child dancing at; recreational, performance team, competition team. * What areas of need do you require assistance in? * Select all that apply. Monthly Tuition Attire/Costumes Performance Oppurtunities/Competitions Education/Conventions I affirm to the best of my knowledge that the above information is true and complete. I agree to provide assistance or income documentation as requested, thereby completing the application. I understand this financial assistance is short-term and will be reviewed regularly. * Please type your name in. Date MM DD YYYY Thank you for submitting your application. All scholarships will be awarded by June 15, 2025 via email. If you have any questions, please contact Jordan Britt at jmbdancefoundation@gmail.com.
