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SBYO Tuition Assistance Application
Student's Name *
Your answer
Student's Race *
Student's Date of Birth *
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School *
Your answer
Grade *
Your answer
Home Address *
Your answer
City & State *
Your answer
Zip Code *
Your answer
Instrument(s) *
Your answer
How long has this student played? *
Your answer
Does the student study privately? *
Does student participate in music groups at school or church? *
Name of Primary Parent/Guardian *
Your answer
Cell Phone of Primary Parent/Guardian *
Your answer
Email of Primary Parent/Guardian *
Your answer
Occupation of Primary Parent/Guardian *
Your answer
Full or part-time?? *
Name of Secondary Parent/Guardian
Your answer
Cell Phone of Secondary Parent/Guardian
Your answer
Email of Secondary Parent/Guardian
Your answer
Number of Dependents in Your Home *
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Each member of the SBYO is required to pay a $25 deposit. How much can your family contribute beyond this $25 deposit? *
Your answer
Is your child eligible for the federal free or reduced cost lunch program?
Occupation of Secondary Parent/Guardian
Your answer
Full or part-time?
Please describe your Statement of Need: *
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By submitting this application to receive financial assistance from the SBYO, I certify that all of the information in this application is true and correct. *
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