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Music Moves Mountains Foundation
Application for support
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Music Moves Mountains Foundation
Applicant contact name, phone, and email address
*
Your answer
Applying for
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Individual
Program / Organization
School
Facility
Other:
Name and contact info of support recipient
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Your answer
Type of support applying for
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Financial support for music therapy services (and/or referral to MT)
Music education / scholarship / mentorship
Musical instrument(s) / gear / supplies
Musical performance / engagement
Music workshop / community outreach
Other:
Required
List types of challenges as basis for need
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low-income
disability
medical condition (mental, physical or emotional)
limited resources / underserved population
discrimination (race, gender, etc.)
hardship (job loss, disaster, abuse, foster care, homelessness, etc.)
Other:
Required
What is the ultimate goal in seeking support?
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Your answer
What is the timeframe or dates in which support is needed?
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Your answer
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