Belly Dance Scholarship Application

(Application Deadline – July 31, 2006)

SCHOLARSHIP APPLICATION INFORMATION AND GUIDELINES The Kismet Dance Foundation Dance Scholarship is available to students who have a serious desire to further their instruction in Belly Dance. Applicants should show a serious interest in the dance by attending a minimum of two (2) classes weekly. The scholarship will be able to be applied to the seminar of you choice between September 1, 2006 and August 31, 2007. All applicants should attach at least one letter of recommendation from instructor or dance friend. To be completed by applicant (Please type or print clearly)

Student’s Legal Name: Date:

Dance Name (if applicable):

Street Address:

City: State: Zip:

E-mail Address:

Home Phone Number:

Classes Attended per Week (Where/When):

Please return this application by March 4, 2005 to:

Pat Cocchi Kismet Dance Foundation

1089 N.E. 104th Street Miami Shores, Fl. 33138

(305) 754-0258

(Please complete both pages of this application)

In 200 words or less, describe why you should be considered for the Dance Scholarship and how it will assist in financing your dance education.

Please list any awards, honors, leadership positions and dance activities (school, community and/or church) in which you have participated.