West Coast Tap Dance Collective 2010 Scholarship Application Form (Please Print)
Personal Information:
Name of Applicant _________________________________________________________________________Address____________________________________________________________ Postal Code ___________
Telephone _____________________________________ Alternate Telephone __________________________
E-mail ________________________________________ Date of Birth ________________________________
Contact Information for References:
Name and relationship to applicant: _____________________________________________________________Telephone _____________________________________ E-mail Address ______________________________
Other reference: Specify _____________________________________________________________________
Telephone ________________________ _____________E-mail Address ______________________________
WCTDC 2010 Scholarship Application Part 2
What are your personal and immediate goals in tap?__________________________________________________________________________________________
__________________________________________________________________________________________
What are your ultimate goals in tap?
__________________________________________________________________________________________
__________________________________________________________________________________________
Name of school and/or course for which assistance is sought. (Please attach any brochures, pamphlets, etc. if available.)
Telephone _____________________________________ E-mail Address _______________________________
Website information __________________________________________________________________________
How will this training help you achieve your goals?
__________________________________________________________________________________________
__________________________________________________________________________________________
Please mail to:
West Coast Tap Dance Collective
PO Box 93553
Nelson Park
Vancouver,BC
V6E 4L7
Or scan and email to:
info@westcoasttapdance.com