2025-2026 Financial Assistance Request Form for Dancers 18+

2025-2026 Financial Assistance Request Form

For dancers 18+ due October 1st, 2025
Name*

First NameLast Name
Pronouns
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthday*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Are you part of a marginalized group?
Information regarding gender identity, sexuality, ethnic origin, race, disability, and more are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for financial assistance. However, priority consideration is given to marginalized dancers and providing this information may increase opportunities where donors have provided additional funding for dancers part of certain marginalized groups.
Are you part of a dance studio, dance program, or are you a college student?
San Jose, CA – November 21st-23rd, 2025Rochester, NY – February 7th-9th, 2026Orlando, FL – February 27th-March 1st, 2026Hanover, NJ – March 13th-15th, 2026Boston, MA – March 20th-22nd, 2026Reno, NV – March 27th-29th, 2026Denver, CO – April 10th-12th, 2026Providence, RI – April 24th-26th, 2026
Please make a brief statement describing why you are in need of financial assistance.
We know this takes emotional labor and it is not required, however we know that sometimes numbers don't match need and we want to give you the opportunity to share.
Occupation/job title/student status*
What is your combined annual household income? *
Additional income
Any income coming from a guardian, family member, additional occupation, etc?
If you have additional income coming from a guardian or family member, please fill out the following below. If you selected no, you may skip the following questions labeled a-d.
a) Number of dependents in household
Line 6C on 1040, Line 5on 1040 EZ, or Line 6C on 1040A.
b) Adjusted gross income of guardian/family member
Line 37 on 1040, Line 4 on 1040 EZ, or Line 21 on 1040A.
c) Total income of guardian/family member
Line 22 on 1040 or Line 15 on 1040A.
d) Please upload or email proof of income

Cancelof
By signing this document, I agree that the information is accurate.
Dancer Name*

First NameLast Name
Dancer Signature*
Please Note: Financial assistance is not guaranteed. It will be determined based on the viability of your application. Assistance will be given based on the availability of funds and level of need. This application is confidential. The information on the form will not be disseminated. Our team will review your application and get back to you. Thank you for being part of the Embody family!
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