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EducArte samba dance scholarship form
Request for scholarship to cover fees for EducArte's samba dance classes.
We ask that scholarship recipients commit to attending for the semester and not miss more than three sessions.
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* Indicates required question
Email
*
Your email
Full name
*
Your answer
Zip code
*
Your answer
Phone number
*
Your answer
Would you like to be added to the WhatsApp group?
*
Yes
No
Have you ever attended one of EducArte's dance sessions?
*
Yes
No
Why do you want to participate in EducArte's dance classes?
*
Your answer
Do you have any prior experience with samba dance or music? Please describe.
*
Your answer
How did you hear about our dance program?
*
Instagram
Facebook
WhatsApp
Print flyer
Word of mouth
Other:
Are you requesting a full or partial scholarship?
*
Partial (50%)
Partial (75%)
Full (100%)
What's your age?
*
Under 18
18-29
30-39
40-49
50-59
Over 60
Prefer not to say
What gender do you identify with?
*
Man
Woman
Transgender
Non-binary/Non-conforming
Prefer not to say
Please specify your ethnicity (check all that apply)
*
African American/Black
Asian
Caucasian/white
Latino or Hispanic
Native American
Native Hawaiian or Pacific Islander
Prefer not to say
Required
Are you Brazilian?
*
Yes
No
Are you experiencing financial hardship?
*
Choose
Yes
No
A copy of your responses will be emailed to the address you provided.
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