Atlanta Branch Memorial Fund

 Endowed by Legacies from Bennett Hamer and Zoe McLaughlin

 Application Form

Name of Applicant _______________________________________________________________________
Address _______________________________________________________________________________
______________________________________________________________________________________
Phone Number ___________________________ eMail Address___________________________________
Number of Years Dancing _________________________________________________________________
Participation in Previous Atlanta Branch Functions/ Events _______________________________________
_____________________________________________________________________________________
______________________________________________________________________________________
Name of Sponsor if Applicant is not a Branch Member ___________________________________________
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Scholarship Request
Name of Event You Plan to Attend (attach event flyer) ______________________________________________________
Location __________________________________ Date/s ___________________________________________
 Costs Involved: Registration/Examination Fees _____________________________________________
  Approximate Cost of Housing ______________________________________________
  Total Requested __________________________________________________________ 
What are your reasons for attending this event and what benefits do you expect to gain?__________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
If this is an Atlanta Branch event, how are you willing to volunteer to assist with event activities before,
during, or after the event? __________________________________________________________________________
If this is not an Atlanta Branch event, how are you willing to pass on the benefits and knowledge gained
from your attendance at this event? _________________________________________________________________
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 Special Project Request
Describe the project for which you are requesting funding _____________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
How will it benefit Scottish Country Dancing? ________________________________________________________
______________________________________________________________________________________
Amount Requested ______________________________________________________________________________

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