2016-2017 Ballet Class Series Application Survey

Because we receive federal support for our arts education programs, it is important that we gather information about all the people we serve. To that end, applicants are also asked to complete this survey. Your application will be considered complete once this survey has been submitted.

Please note that the information gathered in this survey will not be seen by the audition panelists and will not be a consideration in audition decisions. Data will only be reviewed in aggregate and will not be associated with an individual applicant other than to confirm that it has been received.

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* 1. Name

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* 2. School district (for the 2015/2016 school year):

Public School

Private School

Parochial School

Homeschool

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* 3. School Information

School City

School State

School Zip Code

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* 4. During the last school year (2015/2016), did you have an IEP (Individualized Education Program) and/or a 504 plan to assist your learning?

Yes

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* 5. During the last school year (2015/2016), did you have English Language Learning/English as a Second Language support from your school district?

Yes