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WCCMA Youth Scholarship Application
2022-2023 School Year Application

West Claremont Center for Music and the Arts
133 Old Church Rd, PO Box 902
Claremont, NH 03743

Ph. 802.738.0022 or melissa@wcc-ma.org
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Student Name *
Email *
Address *
Which program(s) are you requesting a scholarship for? Select all that apply *
Required
Scholarship Type requested *
WCCMA does not cover fees for missed lesson. I understand that I am responsible to attend any scheduled private instruction sessions during the agreed upon time, and if I miss a lesson (without proper notice) that I am responsible for paying the full fee. Policies will be outlined in your lesson agreement during your first lesson. *
Required
Parent/Guardian Name *
Address *
Occupation and Employer *
Contact Numbers *

For grant reporting purposes we are required to have income brackets for scholarship recipients.

A. $15,000 or less

B. $15,001- $20,000

C. $20,001 - $27,000

D. $27,001 - $34,000

E. $34,001 - $40,000

F. $40,001 - $47,000

G. $47,001 - $54,000

H. $54,001 - $64,000

I. $64,001 - $74,000

J. Other (indicate amount)

Please select the income bracket that you fit into:

*
Please note additional details we may need to consider, including additional income, extenuating circumstance, number of adults and youth supported by this income. A short answer is fine, we don't require an essay, but it does help us to secure additional funding when we know a little about our students' circumstances and why music is outside the family budget.

WCCMA is committed to making music available to all in our community, and in most situations we are able to offer free or discounted access to programs. For larger awards assistance is given based on merit, need, and commitment of the student. Funds are limited and requests may not be fully funded. Instructors will be consulted about student progress, and if students are not attending lessons, canceling frequently, not meeting the lesson requirements listed on the program details, or other similar situations aid award may be suspended.

*
Anything else that you would like to share with us? *
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