Cleo Parker Robinson Dance summer Scholarship

Cleo Parker Robinson Dance2026 Summer Intensive & Camp Scholarship & Work Study Application

All information provided is confidential and will not be shared*
Applying for (check one):
If another student relationship to student
Name of person completing this form:
Relationship to student:
Student Full Name
Date of Birth

MonthDayYear
Date
Age
Parent Guardian Name if student is under 18
Email
example@example.com
Phone
Format: (000) 000-0000.
Home Address
Current School
Current Dance Studio Program if applicable
Years of Dance Training
Please select the exact program(s) and week(s) you are applying for:
Global Children's Camp
Pre-Professional/Professional Intensive
Youth Intensive
Annual Household Income required
Number of people in household
Brief description of financial circumstances and need
Are you interested in a work study exchange in addition to or instead of tuition assistance?
Areas you could assist with (check all that apply):

Other
Other skills youd like us to know about
Relevant experience
Please share anything you would like us to know, including:• Why this program is important to you or your child • Artistic goals and personal growth • Financial or family circumstances • How this opportunity would make an impact
Please respond to the following:• What challenges you or your child have faced and how dance or the arts have supported resilience • How you or your child hope to give back to the CPRD community if awarded this opportunity
Previous CPRD Involvement (if any)
Programs classes camps or intensives previously attended
Proof of Income Upload (Required)

Please attach one or more of the following (all information is confidential):

Recent pay stubs

Free /Reduced Lunch verification

Assistance program documentation
File Upload

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File Upload

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By submitting this application, I understand that:

Scholarships and work study placements are limited. Awards may be full or partial. Work study requires punctuality, professionalism, and reliability. All information provided is accurate and truthful
Signature of Applicant Parent Guardian
Date

MonthDayYear
Date
Student Signature ages 10
Date

MonthDayYear
Date
Should be Empty:

Cleo Parker Robinson Dance2026 Summer Intensive & Camp Scholarship & Work Study Application

By submitting this application, I understand that: