Scholarship Application

First and Last Name (Student)

First and Last Name (Parent/Guardian)

Birthday (Student)

Month

Day

Year

Name of School

Email

Phone Number

Please describe your financial need/hardship

Is the child currently involved in a music program/lessons that they are unable to continue due to financial constraints? Please describe the program.

Is the child looking to start a new music program/lessons? If so, what instrument or group?

Is there any other information you would like to share?