LOD Foundations 2021 Scholarship Application
Email *
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Phone Number *
Preferred Pronouns *
Are you interested in registering for: *
Employing Institution or School *
Work or School State and Zip Code *
Job Title or Graduation Date *
Are you a LODC Member *
What do you consider your dance specialty (style, technique, Dance Education, etc.)? *
Please share a short biography about your life and work in dance: *
What population do you work with (K-5, 6-12, Higher Education, Private Sector)? *
What are your goals for taking this Language of Dance course? *
How do you hope to apply Language of Dance to your work? *
Will you have steady access to the internet and Zoom for synchronous and asynchronous learning? *
Your Electronic Signature *
Date *
In addition to this completed application, please submit a letter of recommendation (PDF) from someone who knows and can speak for your work.
Submit your finished application and email the PDF letter of recommendation to Susan Gingrasso: sgingrasso@lodcusa.org with the subject line: YOUR LAST NAME LODC Scholarship Application.
Incomplete or improperly submitted applications will not be considered. The LODC will notify the selected scholarship recipients in early June.
Never submit passwords through Google Forms.
This form was created inside of Language of Dance Center USA. Report Abuse