Dr. VapsTaps Memorial Scholarship Application

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Birthday *

How much scholarship money are you requesting? *

What is the total expense for this event/class? *

Date the money is needed *

If we are only able to grant part of your request, will you still be able to use the scholarship? *

Yes No Depends on the amount granted

Address *

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Line 2

City

State

Zip Code

Country

Tell us about yourself and your dance background *

What would you like to do with and how will you benefit from a scholarship? *

Why do you feel you should receive a scholarship? *

Tell us more about you!! (Examples: community involvement, career, family, education, life goals) *

Please provide the name and contact information for the organization for which you are seeking the scholarship

Name of organization/event *

Address *

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Line 2

City

State

Zip Code

Country

Phone Number of organization *

Please read the terms and agreements below and check one of these boxes *

I have read and understand/agree to these terms I have read and do not understand/agree with these terms

Submit

Terms and agreements:

*Must be 18 years or older to apply.
*All Applicants must submit a letter of recommendation via email to circlecitydance@gmail.com
*Scholarships are limited to adults continuing their tap dance education
*Applicants must be a resident of the United States
*Scholarships can range from $25-$250
*We ask that all scholarship recipients share pictures from the events in which they attend along with a summary we can share on our website and social media. This is to help generate more interest in getting people to donate to our fund.
*Dr VapsTaps Memorial Scholarship Fund is a program run by Circle City Dance Productions, LLC and is not yet a nonprofit organization
*Scholarship recipients may be asked to submit a W-9 for tax purposes