BURSARY APPLICATION FORM

QL2 Dance is committed to offering financial assistance to support participation in our programs and projects.

We have a limited number of bursaries to offer which is why we need to ask for some information about applicants personal circumstances.

Bursaries cover part or all of the costs of participation and are handled confidentially.

Parent Guardian Name

First Name

Last Name

Dancer Name

First Name

Last Name

Please let us know the program or project you are applying for a bursary for:

Preferred level of bursary

While we will do our best to accommodate the level of your request, we will be balancing needs against a fixed pool of money.

Reason for requesting a bursary

Please provide us with the amount of information you feel comfortable with. It is not necessary to disclose any specific financial information.