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SBYO Tuition Assistance Application
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* Indicates required question
Student's Name
*
Your answer
Student's Race
*
Caucasian
Hispanic
African American
Other
Student's Date of Birth
*
MM
/
DD
/
YYYY
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?
*
Yes
No
Other:
Does student participate in music groups at school or church?
*
Yes
No
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??
*
Full time
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
*
Your answer
Each member of the SBYO is required to pay a $40 deposit. How much can your family contribute beyond this $40 deposit?
*
Your answer
Is your child eligible for the federal free or reduced cost lunch program?
Yes
No
Clear selection
Occupation of Secondary Parent/Guardian
Your answer
Full or part-time?
Full time
Part time
Other:
Clear selection
Please describe your Statement of Need:
*
Your answer
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.
*
Your answer
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