Opportunity Music Project Application Form
To apply for Opportunity Music Project, please fill out this application form and send your supporting documents (see below) via regular mail or email (preferred) to jgarand@opportunitymusicproject.org. Please scan and include your child’s most recent report card (this information is for statistical purposes only).

Students can apply for Opportunity Music Project at any time this year, however all applications will be reviewed on a rolling basis, with an August 15th deadline for students wishing to enroll for the academic year that begins in September.

Upon receiving your completed application, you will be contacted to arrange an interview. All interviews take place at the Opportunity Music Project teaching studio, located at 4 West 43rd Street.

For any questions, please do not hesitate to contact Executive Director Jessica Garand by phone or email at jgarand@opportunitymusicproject.org or (917-741-3190). Please visit our website at www.OpportunityMusicProject.org and like us on Facebook at www.facebook.com/OpportunityMusicProject.

Supporting documents: (1) letter of recommendation, and (2) a short essay about music and what it means to the applicant (this may be written by the parent if the student applicant is younger than eight years old). Please also include a copy of your child’s most recent report card. The letter of recommendation should be written by someone who knows your child well, who is not a family member, such as a classroom reacher, music teacher, or mentor. The letter should include information about the student that pertains to why they would be a good candidate for Opportunity Music Project.

Please note that all Personal and Financial information is held in the strictest confidence.
Name of Student Applicant *
Address *
Date of Birth *
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Current Age of Applicant *
Gender
Clear selection
Name of Mother or Legal Guardian *
Name of Father or Legal Guardian *
Child lives with: *
Home Phone
Cell Phone
Work Phone
Please indicate if you have a preferred method of contact *
Email Address *
Applicant's School Currently Attending *
Grade Level *
Name of School *
Music Teacher at School (if applicable)
Instrument at School (if applicable)
Has the applicant taken private music lessons before? *
ex. Individual training on a specific musical instrument
If "yes" how long?
If "yes" what is the name of the music school or private instructor?
Financial Information (ONLY IF APPLYING FOR SCHOLARSHIP) *
Please include with this application a copy of your most recent Federal State Income Tax Form (including W-2 forms) or proof of Public Assistance if applying for a full or partial scholarship
Mother/Guardian Name
(fill out only if applying for full or partial scholarship)
Employer
Employer Address
Position
Total Income (current year)
Total Expected Income (next year)
Income taxes are filed
Please include both Parent/Guardian tax information if filing separately
Clear selection
Father/Guardian Name
Employer
Employer Address
Position
Total Income (current year)
Total Expected Income (next year)
Has there been a significant change of income? If so, please explain below.
Are you currently receiving public assistance?
TANF/ AFDC/ SSI/ Food Stamps
Clear selection
If divorced or separated, does your child receive child support?
Clear selection
If yes, please mark expected contribution for this year.
Does either parent own a home?
Clear selection
If yes, please indicate year home purchased
Amount owed on the home
Monthly home mortgage
Do you Rent and Apartment/ House?
Clear selection
Length at current residence
Rent Payment
Please indicate monthly rent payment
Additional Dependent (s) Information:
Please mark the name; age and relationship of dependants (do not include yourself)
Additional Income
Please mark any other income such as investments, real estate, and other assets:
Does anyone else contribute to the applicant’s financial needs?
If yes, please list contact information and relationship to applicant
If Yes, Expected contribution for this year.
Please provide any additional information pertinent to the application for scholarship below
I have submitted via regular mail or email (or will submit within one business day) supporting documents which include (1) letter of recommendation, and (2) a short essay about music and what it means to the applicant, and will send a copy of my child’s most recent report card. *
If applying for a full or partial scholarship please submit via email a copy of your most recent Federal State Income Tax Form (including W-2 forms) or proof of Public Assistance.
I certify that the information offered in this application is true and complete. I agree to inform the administration at Opportunity Music Project promptly in writing of any financial resources that may become available to me subsequent to the filing of this form. If admitted, I understand that I must re-file this form for each year my child attends OMP. *
Please sign your electronic signature below:
Date *
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