Motion Pacific Youth & Teen Program Scholarship Application
We base our scholarship decisions on the combination of a student's potential and commitment as well as the specific economic needs of their family. Please answer the following questions so that we can consider you for a scholarship.

All information supplied for this application process remains strictly confidential!

**We ask that all scholarship families volunteer 8 hours of time to the studio; events, cleaning, projects. Opportunities will be offered throughout the semester.
Please provide the student's name, address, age, and date of birth: *
Where does the student attend school? *
Please provide the parent/guardian's email address & phone number: *
What session are you applying for? *
List classes student is interested in taking: *
Please list your dance/movement/athletic/artistic experience and interests: *
What specifically about the Motion Pacific Youth & Teen program interests you? *
Why do you want to dance? *
**To be filled out by Parent/Guardian** Please list below your relationship to the applicant, your occupation, your employer, as well as whether you work full time, part time, or are self-employed. *
**Second Parent/Guardian (if applicable)** Please list below your relationship to the applicant, your occupation, your employer, as well as whether you work full time, part time, or are self-employed.
How many people are in your household? *
What is your annual income ( including public assistance, child support, etc.) *
Please list any outstanding/household expenses:
How much can you afford to pay monthly? *
Is there anything else you would like to tell us?
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