2025-2026 Financial Assistance Request Form for Guardians

2025-2026 Financial Assistance Request Form

To be completed by dancer's guardian due October 1st, 2025
Guardian Name*

First NameLast Name
Guardian Pronouns
Dancer Name*

First NameLast Name
Dancer Pronouns
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dancer Birthday*

MonthDayYear
Date
Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Guardian Email Address*
example@example.com
Is your dancer or an immediate family member of theirs 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.
Does your dancer attend a dance studio? If so, what is the name of the dance studio?
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 your dancer is 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.
Guardian occupation/job title*
Additional Guardian's occupation/job title
What is the combined annual household income? *
YesNo
If you selected yes, please fill out the following below. If you selected no, you may skip the following questions labeled a-d.
a) Number of dependents
Line 6C on 1040, Line 5on 1040 EZ, or Line 6C on 1040A.
b) Adjusted gross income
Line 37 on 1040, Line 4 on 1040 EZ, or Line 21 on 1040A.
c) Total income
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.
Guardian Name*

First NameLast Name
Guardian 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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