Scholarship / Work-Study Application Form

Name

First Name

Last Name

What portion of the intensive will you be attending?

Full

NYC only

LA only

Have you made an effort to raise funds?

YES. Explain how and results:

NO. Explain why:

Do you work full-time or part-time? Do you attend school? Year?

Where do you work or attend school?

If under 21, please state parent/guardian occupations:

What circumstances do you feel qualify you for a Financial Aid Scholarship?

(attach separate sheet if more space is needed to answer)

What skills would you bring to a work-study scholarship?

How will you benefit from the program?

What are your 5-10 year goals?

Have you had any injuries this year? If yes, give a brief description

Do you have any chronic/recurrent injuries or difficulties? If yes, describe

Other comments (if any):