Earl Mosley's Institute of the Arts 2020
2020 Application
Residential Tuition(including room and board)
Day Student Tuition
Applicant Contact Information
First Name *
Your answer
Last name *
Your answer
Email *
Your answer
Primary Phone *
Your answer
Secondary Phone
Your answer
Street Address *
Your answer
Apartment #(write NA if there is none) *
Your answer
City *
Your answer
Zip *
Your answer
State
Country
In Case of Emergency, Contact:
Can not be self
First Name *
Your answer
Last Name *
Your answer
Relationship *
Your answer
Primary Phone *
Your answer
Secondary Phone
Your answer
Applicant History
Audition Location
Age as of 07-01-2020 *
Your answer
Date of Birth *
Your answer
To which gender identity do you most identify?
Total Years Danced
Your answer
Currently Studying Dance(location) *
Your answer
Recent & Current Teachers *
Your answer
Skill Level
Training in
Interest in Pursuing
Financial Information
Who will be responsible for tuition payments *
If other than applicant, please complete the following:
First Name
Your answer
Last Name
Your answer
Relationship to Applicant
Your answer
Email Address
Your answer
Daytime Phone
Your answer
Street Address, Apt #
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Country
Your answer
Are you applying for a partial scholarship? *
If yes, you must complete the EMIA 2019 Scholarship Application
How did you hear about us
Your answer
In 150-200 words please write a Letter of Intent on what you hope to learn at EMIA this summer *
Your answer
Other information you would like us to know
Your answer
Accommodations for Disabilities. Please explain.
Your answer
Thank you for applying to EMIA 2020
If you do not receive confirmation that we received your application
within 1 week, please email steffen@diversityofdance.org

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