2018-2019 CPS Encore Lesson Scholarship Request Form
Registration Form Information
In order to apply for an Encore Scholarship, you must first register your child and pay the registration fee.

The registration form can be found here at https://goo.gl/forms/ZtQ2HLNN5yLoS6hy1.

The registration fee can be paid at www.myschoolbucks.com. The scholarship is not guaranteed.

After the registration form and fee are complete, proceed to use this form to apply for scholarship.

Section 1: Student Information
Student Last Name *
Your answer
Student First Name *
Your answer
Select Instrument you are requesting scholarship for *
School Attending in Fall 2018
Grade in Fall 2018 *
Student Please attach a paragraph including: *
A description of your experience playing/singing with your school group(s)
Your answer
Student Please attach a paragraph on: *
What you gain from private lessons.
Your answer
Student experience: *
A description of your experience playing/singing with your school group(s)
Parent/Guardian: Please describe, in general, your financial need. *
Your answer
Section 2: Parent Information
Parent/Guardian 1 Last Name *
Your answer
Parent/Guardian 1 First Name *
Your answer
Parent/Guardian 1: Best Telephone Number to be Reached? *
Your answer
Parent/Guardian 1: Email Address *
Your answer
Parent/Guardian 2 Last Name
Your answer
Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2: Best Telephone Number to be Reached?
Your answer
Parent/Guardian 2: Email
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Submit
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