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* 1. Who are you applying on behalf of?

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* 2. Please enter the name of the dancer you'd like to see receive the scholarship.

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* 3. How many years has this dancer been a student at Pirouette?

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* 4. What are some of the reasons you feel this student is in need of the scholarship funds?

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* 5. Any additional comments you'd like us to take into consideration?

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* 6. Your name:

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