Needs Based Scholarship

Name*
First Last
Physical Address*
Street Address Address Line 2 City State ZIP Code
Different mailing address?
- Check this box if you have a different mailing address.
Mailing Address
Street Address Address Line 2 City State ZIP Code
Primary Phone*
Alternate Phone
Primary Email*
Alternate Email
Gender
- Male
- Female
- N/A
Date of Birth*
Are you still in school?*
- Yes
- No
Your Grade*
What grade are you currently in?
Parent/Guardian*
First Last
Parent/Guardian Phone*

Classes applied for
Remember: if you are applying for a SIMPLE scholarship, there is a*Maximum of two scholarship requests for dance classes or one request for non-dance classes per semester (maximum of up to 50% off of each class. If you are applying for a needs-based scholarship, there is a maximum of up to 100% for 1 dance class or camp per semester – or two regular arts classes per year)
What class(es) are you requesting this scholarship for this semester?*
Listed tuition price for class(es)*
Amount of scholarship money requested*
What other classes will/would you be/are you enrolling in with Weehawken this semester?*
What other classes will/would you be enrolling in with other organizations/teams/programs this semester?*
Have you applied for aid from WCA before?*
- Yes
- No
Have you received aid from WCA before?*
- Yes
- No

Essays
Why are you interested in taking this class/these classes?*
Why do you feel deserving of this award?*
Please describe your financial need for this scholarship*
How do you plan to utilize what you hope to learn through this scholarship?*
Is there anything else you would like to tell us?*
In some instances, and depending on the number of applications, Weehawken may not be able to grant all of the scholarship requests that come forward 100%. On the same note, Weehawken is sometimes willing to trade labor or services for classes. Is there any special skill that we should be aware of that you are willing to offer? Or, is there a limit to the amount of time that you might be able to contribute in trade for a class?
Tell us more about you*

References
Please provide us with the names and contact information of at least two people who can speak to your need.
Full Name (#1)*
First Last
Phone (#1)*
Relation (#1)*
Full Name (#2)*
First Last
Phone (#2)*
Relation (#2)*

Submit your application
I have read and understand Weehawken’s scholarship information and policies. I understand that if awarded a scholarship, I am expected to complete at least 8 hours of volunteer service per class scholarship to Weehawken during this semester. Failure to complete volunteer hours will result in expulsion from the scholarship program in the future. And, I hereby certify that all of the above information is correct.

Typing your name in the following form constitutes an electronic signature.
Today's Date*
Signature of parent/guardian*
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