Scholarship Application

The Bernie Dushman Scholarship Fund

Application for TCF Apprenticeship Training Scholarship

Revised May 2024

Please review the Policies and Procedures for TCF Scholarships v2 2024
Weblink: https://www.taichifoundation.org/scholarships/

Location & Date of Training you are applying for

Choose Training Location *

Summer US Training-East coast

Summer US Training-West coast

Summer EU Training

Winter US Training-East Coast

Winter US Regional Training-West Coast

Winter EU Training

Other Apprenticeship Training - Describe Below Other Apprenticeship Training - Describe Below

Dates of Training *

Applicant Information

First Name *

Last Name *

Email Address *

Phone *

Address 1 *

Address 2

City *

State/Provence *

Country *

Zip Code *

Financial Need Information

Number of dependents in your household: *

Adjusted gross income (Please enter row letter followed by $, €, or £ from chart below). *For US residents please enter information from page 1 of most recently filed federal tax form 1040. *

Scholarship Information

Apprenticeship that will be taken at the training *

Scholarship amount requested (in USD $) *

Details of costs you are requesting assistance for *

Additional Requirements

Please submit your Letter of Intent (as per Policies item B2) *

Please provide details of the teacher that will write your Letter of Recommendation

Name of Teacher *

Teaching Location *

Email Address *

By checking this box I affirm I have read the Scholarship eligibility and criteria and I understand the terms. *

I agree with the Terms & Criteria

Signature *

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If you have questions concerning this application please contact

Administrative Office

PO Box 575, New York, NY 10018 USA

212-645-7010

email scholarships@taichifoundation.org

The Tai Chi Foundation is a 501 (c) (3) not for profit educational organization

Donations are tax deductible to the full extent allowed by law