Up Street Music Patrons Private Music Lesson Scholarship Application

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2020

Student First Name *

Student Last Name *

Guardian First Name *

Guardian Last Name *

Phone Number *

Email *

Street Address *

City *

Zip code *

Student Age *

Student Grade *

What instrument would you like to study with your private instructor? *

Voice

Piano

Guitar

Drums

Saxophone

Violin

Flute

Cello

Trumpet

Other:

Are you just beginning lessons, or have you been taking lessons? How long have you been taking lessons with this teacher? *

List the music school or instructor name you will be studying with - Who do we make the tuition check out to? *

What are the length, frequency, and cost of the lessons? (per lesson) *

What amount of the tuition financial aid are you requesting? *

If awarded more than $600 in one year, will your teacher or music school be able to provide us with a completed IRS W9 Form? *

yes

not sure

How did you hear about the USMP Musical Theater Scholarship Fund? *

If you are awarded a scholarship, would you or your family be able to help at future USMP events in any of the following areas? *

Student performing for a fundraiser

Student or family volunteering at snack bar fundraisers

Student or family bringing baked goods to a fundraiser

Student or family helping with set up or clean up from future fundraisers

Student or family helping with costumes- either sewing, or sorting

Other:

Required

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