PAD Tuition Assistance Application Form

Please complete this application in its entirety. Palm Arts will review the information and notify you of the funds available to your family. All information will remain confidential.
REQUEST FOR TUITION ASSISTANCE

PALM ARTS DANCE PROGRAM
Parent Name
Contact Phone
Format: (000) 000-0000.
Email
example@example.com
Dancers name
Tuition Assistance Amount Requested (assistance is not applied to performance fee)
Do you receive financial assistance from any other organizations or for any other activities that take place in San Miguel County?
If yes, Which organizations?
Please explain any pertinent details as to why you are requesting this amount
Palm Arts relies heavily on volunteer assistance to help with our performances. If possible, we ask that recipients of financial aid provide volunteer services to the Palm Arts Dance as their schedule allows. This is not a requirement in order to receive financial aid. Thank you for your consideration.
STATEMENT OF PALM ARTS DANCE POLICY FOR TUITION ASSISTANCE:
PALM ARTS REQUIRES A COPY OF YOUR MOST RECENT TAX RETURN IN ORDER TO CONSIDER ANY TUITION ASSISTANCE REQUESTS. IF FILING SEPARATELY, BOTH PARENTS MUST SUBMIT THEIR TAX RETURN. Please upload most recent tax returns here. Incomplete applications will not be considered.

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Signature and Date
Please reach out with any questions.

Nicole Hattler - 970.369.5673 - nhattler@telluridepalm.com
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REQUEST FOR TUITION ASSISTANCE