Up Street Music Patrons Private Music Lesson Scholarship Application
2020
Student First Name *
Your answer
Student Last Name *
Your answer
Guardian First Name *
Your answer
Guardian Last Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
Street Address *
Your answer
City *
Your answer
Zip code *
Your answer
Student Age *
Your answer
Student Grade *
Your answer
What instrument would you like to study with your private instructor? *
Are you just beginning lessons, or have you been taking lessons? How long have you been taking lessons with this teacher? *
Your answer
List the music school or instructor name you will be studying with - Who do we make the tuition check out to? *
Your answer
What are the length, frequency, and cost of the lessons? (per lesson) *
Your answer
What amount of the tuition financial aid are you requesting? *
Your answer
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? *
How did you hear about the USMP Musical Theater Scholarship Fund? *
Your answer
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? *
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