Scholarship Application
Email address
(Seminars & Special Courses)
Please fill out this form to apply for a scholarship for seminars and special courses.
First Name
Your answer
Last Name
Your answer
Phone Number
Your answer
Referred By:
Your answer
What are you requesting a scholarship for?
Date of seminar or course
Please tell us what the financial circumstances are that prompted you to request a scholarship.
Your answer
How much are you able to pay for this seminar/course
Your answer
Additional Message (Optional)
Your answer
Please email supporting financial documentation to
A photo of your tax return main page is best. Otherwise, a recent pay stub may also suffice.
Thank you for your interest in our dojo. Your request will be reviewed at the next meeting of our Board of Directors and you will be notified of their decision.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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