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| NAME:____________________________________________________________________________________
(last) (first) (middle) MAILING ADDRESS:________________________________________________________________________ _________________________________________________________________________________________
TN __________________________
PHONE:______________________ E-MAIL:_____________________________________________________ AGE:_________________ BIRTHDATE:__________________ (mm/dd/yyyy) PROGRAM YOU ANTICIPATE ATTENDING:________________________________________ DANCE EXPERIENCE: (include training
and performing experience)
HONORS, AWARDS, SCHOLARSHIPS (dance
or other)
In the space provided below please
write one paragraph stating your dance related goals and how the dance
scholarship award would help you achieve those goals.
SIGNATURE
DATE
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| 2008 application materials are due SEPTEMBER 15, 2008. TAD is not responsible for applications not received. We recommend using registered mail or priority mail with deliver confirmation. |
| To complete this form on your PC, highlight copy and paste into you word processing program. |