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Music Lesson Scholarship Application
Hello!
Please fill out the following information in order to be considered for a music lesson scholarship. This information is confidential and will only be seen by the board of
Cadence Music, NFP
.
NOTE: For scholarship applicants under 18 years of age, a parent or
guardian
must fill out this form.
Looking forward to making lessons accessible to all!
Thank you!
Brooke Schrager & Ella Bracero
Cadence Music NFP Co-Founders
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* Indicates required question
Email
*
Your email
Student's
first
name
*
Your answer
Student's
last
name
*
Your answer
Student's birthday
*
MM
/
DD
/
YYYY
Student's home address
Please include street address, city, state and zip code
*
Your answer
Please share about the student's previous private lesson/music education experience in detail.
If none, please type "none".
*
Your answer
What instrument(s) is the student planning to study with this scholarship?
*
Your answer
Parent/guardian
first
name
*
Your answer
Parent/guardian
last
name
*
Your answer
Parent/guardian phone number
*
Your answer
Parent/guardian email address
*
Your answer
What is the
first
and
last
name of the teacher with whom the student would like to study?
*
Your answer
What is the name of the studio/school associated with the teacher named above?
*
Your answer
What is the email address of the teacher and/or the studio/school?
*
Your answer
What is the phone number of the teacher and/or the studio/school?
*
Your answer
What is the website of the teacher and/or the studio/school?
If there is no website, please type "none"
*
Your answer
Please describe your current situation that is causing need for a scholarship.
For example: loss of a job, death in the family, unexpected emergency expenses, etc. The more details you can provide, the better we can serve you.
*
Your answer
How many family members is your household currently supporting? Please include all family members (parents, grandparents, guardians, children, etc.)?
*
Your answer
Please select the amount that best matches your current, total annual household income.
*
$0-$20,000
$21,000-$35,000
$36,000-$50,000
$51,000-$65,000
$66,000-$80,000
$81,000-$95,000
$96,000-$110,000
$111,000-$125,000
Greater than $125,000
Other:
Please select the percentage of lesson tuition that you will be able to comfortably pay for the foreseeable future- there is no "right" or "wrong" answer.
NOTE: Cadence Music NFP will provide financial assistance up to $35/lesson.
*
75% (I can afford to pay 3/4 ($26.25) towards each lesson)
50% (I can afford to pay 1/2 ($17.50) towards each lesson)
25% (I can afford to pay 1/4 ($8.75) towards each lesson)
0%, (I am in need of a full scholarship at this time)
Other:
How do you feel your financial situation may change in the near future, if at all?
*
I will likely continue to need financial assistance with music lessons for the foreseeable future
I will likely be able to contribute more financially towards music lessons in the near future, but I need assistance right now until my circumstances change
I will likely need financial assistance for a certain period of time and will be able to pay for lessons in full once my situation changes
Other:
Required
I have read, understand and agree to the current
Lesson Policy
provided by Cadence Music NFP, and understand that my scholarship requires me to follow the policies and procedures in order to continue taking music lessons and receiving financial assistance.
*
I have read and accept the terms and conditions of the Cadence Music NFP Policy
Required
If you have any additional, important or helpful information to provide that may be relevant to your potential scholarship through Cadence Music NFP, please share below.
Your answer
Send me a copy of my responses.
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