LOD Foundations 2023 BIPOC Student Partial-Scholarship Application (USA Domestic participants only)

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Email *

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Time Zone where you reside *

Phone Number *

Preferred Pronouns *

Are you interested in registering for: *

Parts 1 and 2

Part 1 only

Part 2 only

Your University or College *

School State and Zip Code *

Graduation Date *

Are you a LODC Member *

Yes

What do you consider your dance specialty (style, technique, Dance Education, etc.)? *

Please share a short biography about your life and work in dance: *

What population do you work with or hope to work with (K-5, 6-12, Higher Education, Independent Sector)? *

What are your goals for taking this Language of Dance course? *

How do you hope to apply Language of Dance to your work? *

Will you have steady access to the internet and Zoom for synchronous and asynchronous learning? *

Yes

I understand by submitting this application that I accept the responsibility to fulfill these scholarship requirements: be on time, attend, and participate fully in all sessions; fulfill and submit all course work and homework; complete and present a culminating project; and communicate with my instructors and fellow participants.

Your signature below indicates your agreement.

Date *

YYYY

In addition to this completed application, please submit a letter of recommendation (PDF) from someone who knows and can speak for your work, as well as a photo of your current student ID.

Submit your finished application and email the PDF letter of recommendation and photo of current student ID to Susan Gingrasso: sgingrasso@lodcusa.org with the subject line: YOUR LAST NAME LODC Scholarship Application by May 1st.
Incomplete or improperly submitted applications will not be considered. The LODC will notify the selected scholarship recipients in mid-May

Send me a copy of my responses.

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