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
Your answer
Address
Your answer
Date of Birth
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Current Age of Applicant
Your answer
Gender
Name of Mother or Legal Guardian
Your answer
Name of Father or Legal Guardian
Your answer
Child lives with:
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Please indicate if you have a preferred method of contact
Email Address
Your answer
Applicant's School Currently Attending
Grade Level
Your answer
Name of School
Your answer
Music Teacher at School (if applicable)
Your answer
Instrument at School (if applicable)
Your answer
Has the applicant taken private music lessons before?
ex. Individual training on a specific musical instrument
If "yes" how long?
Your answer
If "yes" what is the name of the music school or private instructor?
Your answer
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)
Your answer
Employer
Your answer
Employer Address
Your answer
Position
Your answer
Total Income (current year)
Your answer
Total Expected Income (next year)
Your answer
Income taxes are filed
Please include both Parent/Guardian tax information if filing separately
Father/Guardian Name
Your answer
Employer
Your answer
Employer Address
Your answer
Position
Your answer
Total Income (current year)
Your answer
Total Expected Income (next year)
Your answer
Has there been a significant change of income? If so, please explain below.
Your answer
Are you currently receiving public assistance?
TANF/ AFDC/ SSI/ Food Stamps
If divorced or separated, does your child receive child support?
If yes, please mark expected contribution for this year.
Your answer
Does either parent own a home?
If yes, please indicate year home purchased
Your answer
Amount owed on the home
Your answer
Monthly home mortgage
Your answer
Do you Rent and Apartment/ House?
Length at current residence
Your answer
Rent Payment
Please indicate monthly rent payment
Your answer
Additional Dependent (s) Information:
Please mark the name; age and relationship of dependants (do not include yourself)
Your answer
Additional Income
Please mark any other income such as investments, real estate, and other assets:
Your answer
Does anyone else contribute to the applicant’s financial needs?
If yes, please list contact information and relationship to applicant
Your answer
If Yes, Expected contribution for this year.
Your answer
Please provide any additional information pertinent to the application for scholarship below
Your answer
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:
Your answer
Date
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