SLBA Scholarship form
Scholarship monies are earned by donation, sponsorships, and fundraising efforts by families. Our offerings change yearly based on how much scholarship income is generated. South Lane Ballet Academy does its best to provide financial assistance to students who qualify financially. If your request is approved, there is a contract to be signed. The contract will outline attendance & behavioral requirements. Please contact SLBA with any questions 541-767-0022 or southlaneballetacademy@gmail.com
Student name (first & last)
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Child's age
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Style(s) of dance student is interested in taking
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Parents / Guardian name
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Parent email address
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Phone Number
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Current Employer
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Annual Household income
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Monthly Child Support Received
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How much are you hoping to pay each month?
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Please bring in last year's tax return for financial verification.
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