Scholarship Application

Please complete the following form in its entirety by August 10, 2019 for consideration for the 2019-2020 school year. Any questions may be directed to the School of Missouri Contemporary Ballet at school@missouricontemporaryballet.org or 573-825-0095.

Student's Name*

First Last

Gender*

Male
Female

Date of Birth*

MM

DD

YYYY

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Student's Email

Parent's Information

Parent/Guardian's Name*

First Last

Required for students under 18.

Relationship to Student*

Parent's Cell/Work Phone*

Parent's Email*

Household Income for the year ending December 31, 2018*

Household Size*

Household Type*

Are there any unusual expenses or extraordinary circumstances that led you to apply for this scholarship?*

Attach a copy of the 2018 federal income tax forms of the person who is responsible for tuition for the applicant*

Previous dance experience*

Include name of organization, classes, number of years

For student: Why are you applying for and deserving of a scholarship at the School of MCB?*

For previous scholarship recipients: How did a previous scholarship award affect you and in what ways did you give back as an ambassador to the School of MCB?

For new applicants: attach one letter of recommendation from a non-family member (not required for applicants who have received a scholarship within the past year)

Scholarship Application

Parent's Information

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