Scholarship and Work-Study Application
Arts Rochester, Inc., DBA Sole City Dance, is a federally designated 501(c)(3) non-profit arts organization.
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Are you applying for Work-study or Scholarship? *
If you are applying for work study what job/s are you available for?
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Name *
Mailing Address *
City, State, and Zip  *
Home phone/Cell phone
 *
Email *
Student Name (if you have multiple children looking to assistance please list all students) *
Age (if you have multiple children looking to assistance please list all students) *
Grade (if you have multiple children looking to assistance please list all students)
Number of family members living in your household who are financially dependent on you.
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Father/Guardian employed. If not employed or not involved financially please write N/A for the next set of questions.  
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Employer *
Work Phone *
Position  *
Salary *
Mother/Guardian employed. If not employed or not involved financially please write N/A for the next set of questions.    *
Employer *
Work Phone *
Position  *
Salary *
Do you have any other means of income? (yes or no; if yes please explain) *
Classes, your child(ren) would like to participate in:
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Please explain why you are applying for a scholarship or work-study:
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Terms and conditions: I certify that the information submitted in this application is complete and correct to the best of my knowledge and I will notify Sole City Dance of any changes in the above information. Sole City Dance has the right to withdraw or change the scholarship amount due to parent(s)/guardian(s) employment or status change. All information related to this application will be reviewed only by the Arts Rochester (dba Sole City Dance) Executive Director and Board Chair/President and will be kept strictly confidential. Upon review, notification will be sent via email indicating approval or denial of your request, including the amount of scholarship granted. Due to the generous financial expenditure made through our scholarship program, we require that all scholarship recipients dance exclusively with SCD during the academic year. Scholarships are for tuition only and all other fees and costumes must be paid for according to SCD guidelines. I have read and agree to the terms/conditions above.
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Type your full name (first and last) here to agree to the above.
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Please submit a copy of your most current pay stub(s) and your most recent 1040 tax return form. You can email these documents to alex@solecitydance.org or drop them off at the front desk. Your application will not be reviewed until all forms are received. Please be sure to black out SSN and anything other non-financial personal information. 
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