Ballroom College Application Name * First Name Last Name Birthdate * MM DD YYYY Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### To Which Program Are You Applying? Dance & Teacher Certification Dance Training Teacher Training Please Explain Why You Are Applying to the Program * Are You Applying for a Scholarship? * If "yes," the Director will discuss scholarships with you at your interview. Yes - Partial Yes - 2024 Full Certification Scholarship No When Would You Like to Start the Program? MM DD YYYY Thank you for applying to Ballroom College! You will be contacted by the Director of Admission to setup an initial interview.