Unity Scholarship Application

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$500 Scholarship Application Form 

Note:  ALL fields are required!

Your Name

Your Email

Date You are Applying

Choose One Scholarship

Name of UNITY Member Organization

Preferred Mailing Address

City

State

Zip

Studio Phone Number:

Personal Phone Number

Website:

Name of the professional Development dance or dance education event you expect to attend. (How will the scholarship be used)

Event Address

Event city

Event State

Event Zip

Cost of Event and associated expenses e.g., hotel, travel. Please Itemize!

Knowledge to be gained: (What do you hope to learn at this event?)

How will the new information benefit the business aspect of your work (for business development) or enhance your teaching (for professional development)?

How many students will be impacted by your gained knowledge?


I give permission to UNITY Inc. to use my photograph and all information pertaining to the UNITY scholarship for publication in all media.
Check here if you accept this agreement:


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