I have read and understand all the above information and agree to the terms and conditions as stated below. *
 Yes, I agree. 
Name of Attendee *
Date of Birth of Attendee *
Attendee Gender *
 Male 
 Female 
Parent/Guardian Name *
Mailing Address *
City *
State *
Zip Code *
Phone *
Email *
(Parent/Guardian email if attendee is a minor)

DETAILED INFORMATION FOR FINANCIAL AID APPLICATION

To be completed by Attendee (if 18 or older) or Parent/Gaurdian
Total Number of Courses Requested for Attendee *
Preferred Location *

COURSE SELECTION:

Choose your top three desired courses
First Choice *
Second Choice *
Third Choice *

WEEK SELECTION:

Choose your top three desired weeks for attendance
First Choice *
Second Choice *
Third Choice *

Gross Household Income in 2011 *
Current Employer *
Spouses' Current Employer (if applicable)
Additional Sources of Income (list type and amount)

ADDITIONAL FUNDING ASSISTANCE

What amounts can each of the following contribute towards tuition? Enter 0 if none.
Immediate Family *
Grandparent or Relative *
Agency or Grant *

AMOUNT (PER WEEK) OF FINANCIAL AID YOU ARE REQUESTING: *
To have the best chance of receiving aid, please make a reasonable request based on your situation.

WRITTEN STATEMENT

This is the written essay portion of the application.
In 500 words or less, please write a personal statement describing your current financial situation and need for aid. Also, include how you or your child (if applying for a child) will apply the DMA training at work, school, and/or personal life. *

UPLOAD TAX FORMS

Scan and upload the first two pages of your completed and SIGNED 2011 tax form (i.e. 1040) or alternative documentation for international applicants and for those who do not file taxes. (File format: PDF or JPG)
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