|
Name of Applicant
_______________________________________________________________________ |
|
Address _______________________________________________________________________________ |
|
______________________________________________________________________________________ |
|
Phone Number ___________________________
eMail Address___________________________________ |
|
Number of Years Dancing
_________________________________________________________________ |
|
Participation in Previous
Atlanta Branch Functions/ Events _______________________________________ |
|
_____________________________________________________________________________________ |
|
______________________________________________________________________________________ |
|
Name of Sponsor if Applicant
is not a Branch Member ___________________________________________ |
|
############################################################################ |
|
Scholarship Request |
|
Name of
Event You Plan to Attend (attach
event flyer) ______________________________________________________ |
Location __________________________________
Date/s ___________________________________________
|
Costs Involved: |
Registration/Examination
Fees _____________________________________________ |
|
|
Approximate Cost of Housing
______________________________________________ |
|
|
Total Requested __________________________________________________________ |
|
|
What are your reasons for
attending this event and what benefits do you expect to gain?__________________ |
|
____________________________________________________________________________ |
|
____________________________________________________________________________ |
|
____________________________________________________________________________ |
|
If this is an Atlanta Branch
event, how are you willing to volunteer to assist with event
activities before, |
|
during, or after the event?
__________________________________________________________________________ |
|
If this is not an Atlanta
Branch event, how are you willing to pass on the benefits and
knowledge gained |
|
from your attendance at this
event? _________________________________________________________________ |
|
############################################################################ |
|
Special Project
Request |
|
Describe the project for
which you are requesting funding _____________________________________________ |
|
______________________________________________________________________________________ |
|
______________________________________________________________________________________ |
|
How will it benefit Scottish
Country Dancing? ________________________________________________________ |
|
______________________________________________________________________________________ |
|
Amount Requested ______________________________________________________________________________ |
