Caroga Lake Music Festival Lessons and Ensemble Program Scholarship Form
Dear Prospective Scholarship Recipient and/or Parent/Guardian,

Thank you for your interest in the musical opportunities of the Caroga Lake Music Festival Lessons and Ensemble Program. Please look at all of the subsequent pages for detailed directions in completing this application.

Applications must be submitted by July 5th 2022.

Applications not completed in entirety and submitted by the appropriate date may not be eligible for awards.

Thank you!
The Education Committee
Caroga Arts Collective
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1. Please explain your financial need.
2. Have you been directly impacted financially by the COVID-19 pandemic? If so, please briefly explain how and what financial hardships have come on to your family from the pandemic. *
3. Please share any additional information that could help the Education Committee reach a decision regarding your request for scholarship assistance. *
4. How many sessions do you plan to participate in?
Family Gross Annual Income: *
Applicant Name: *
Participant name if different than applicant
Mailing Address: *
E-mail: *
Cell Phone Number: *
Home Phone Number: *
Participant Date of Birth: *
Current School/Affiliation: *
If applicable
Grade in School: *
If applicable
Primary Instrument: *
Secondary Instruments (if applicable):
Years of Study (primary instrument): *
Music Instructor(s) (i.e. Private Teachers and School Directors): *
If applicable
Other Activities/Interest/Professions: *
How did you hear about this program? *
TO BE COMPLETED BY THE SCHOLARSHIP APPLICANT
Who do you consider to be your musical influences? *
By signing below, you acknowledge that you have read and agree to the above provisions, and that you have completed application to the best of your ability. *
Date of Signature: *
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A copy of your responses will be emailed to the address you provided.
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