Band of Angels Instrument Application

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Thank you for your interest in Band of Angels. This program is designed to help students in financial need obtain instruments for use in school music programs. Band of Angels works with school administrators, and music directors to help identify students in need of a musical instrument. Band of Angels is sponsored by Fox 4 TV and Meyer Music.

The form below helps provide information needed to establish financial need. We will contact your school music director and administrators to verify that the information provided below is accurate. While these questions help us determine need, we reserve the right to approve or decline any application based on other circumstances.

Please accompany your application with a short background description and story (100 words or more) why you need an instrument. Fox 4 may use these stories to update viewers on who is receiving instruments from the program. By accepting an instrument from Band of Angels, you are granting permission to use your story if needed in a newscast on Fox 4 TV.

The following guidelines apply to this program:

• Band of Angels retains ownership of the instruments while they are being used. These instruments are loaned to the student free of charge for as long as they continue to play.

• If a student decides to discontinue, the instrument must be returned to any Meyer Music location or by contacting the school music director to arrange pick it up at the school if possible. For our location information, please visit our contact page.

• Recipients of donated instruments will be responsible to pay for any repairs or adjustments needed.

• Recipient of instruments may be asked to perform or attend events on behalf of Band of Angels

• Recipient agrees to have first name and photos shared on social media and other press, as appropriate

• Due to the limited number of instruments donated, there is no guarantee that an instrument will be available.

Thanks,
Board of Directors – Band of Angels
A 501c3 Not For Profit Organization

What instrument are you applying for?

Instrument Preference: *

Secondary Instrument Preference: *

Instrument Size:

If your child is in need of an Orchestra Instrument (Violin, Viola, Cello, or Bass), please include the instrument size your child needs. Your child's music director will know this information. Applications that do not include orchestra instrument size will take longer to process.

Student Information

Student First Name: *

Student Last Name: *

Student Middle Name: *

Student Gender: *

Grade: *

Age: *

Ethnicity: *

Hispanic or Latino

Black or African American

Native American or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

White (Not Hispanic or Latino)

More than one race or ethnicity

Other:

Birthday: *

YYYY

School Name: *

School Level: *

Student Email Address: *

Enrollment Status: *

I am enrolled to begin in a music program next year

I am currently enrolled in a school music program

Where will you be playing this instrument? (school music program, college music school, church orchestra, etc.)?

Option 1

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