Up Street Music Patrons Private Music Lesson Scholarship Application
2020
* Required
Student First Name
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Your answer
Student Last Name
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Your answer
Guardian First Name
*
Your answer
Guardian Last Name
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Your answer
Phone Number
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Your answer
Email
*
Your answer
Street Address
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Your answer
City
*
Your answer
Zip code
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Your answer
Student Age
*
Your answer
Student Grade
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Your answer
What instrument would you like to study with your private instructor?
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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?
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Your answer
List the music school or instructor name you will be studying with - Who do we make the tuition check out to?
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Your answer
What are the length, frequency, and cost of the lessons? (per lesson)
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Your answer
What amount of the tuition financial aid are you requesting?
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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?
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yes
No
not sure
How did you hear about the USMP Musical Theater Scholarship Fund?
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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?
*
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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