Tuition Scholarship Application
Please copy the first page of your most recent federal tax return and mail it to the OAYO Office at:

1905 Harney Street, Suite 630
Omaha, NE 68102

Please fill out this information to the best of your ability. If one or more areas are not applicable to your situation please type NA in the box. Thank you.

Student's first name
Your answer
Student's last name
Your answer
Instrument
Your answer
Current private instructor, if any
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip code
Your answer
Home phone number
Your answer
Email Address
Your answer
Father’s First Name
Your answer
Father’s Last Name
Your answer
Father’s email
Your answer
Father’s occupation
Your answer
Father’s annual income
Your answer
Father’s employer
Your answer
Father’s work phone number
Your answer
Mother’s First Name
Your answer
Mother’s Last Name
Your answer
Mother’s email
Your answer
Mother’s occupation
Your answer
Mother’s annual income
Your answer
Mother’s employer
Your answer
Mother’s work phone number
Your answer
Does the student currently live in a single or two-parent household?
List the Adjusted Gross Income from the prior year’s Federal 1040 tax return
Your answer
Have your circumstances changed significantly from what is reflected in last year’s tax return? Please explain.
Your answer
List your estimate income for the current year.
Your answer
List the size of your household. (This is the number of exemptions listed on your Federal 1040 tax return)
Your answer
Student’s employer
Your answer
Student’s monthly earnings or income
Your answer
Employer’s phone number
Your answer
Does your family participate in the free or reduced lunch program at your school?
Your answer
List the students’ brothers or sisters who are also auditioning for an OAYO orchestra. Include their names and instruments.
Your answer
Please describe any extraordinary circumstances that may have an impact on your financial need. Include any pertinent information regarding college tuition, medical expenses, unemployment, child support, alimony, etc. Thank you.
Your answer
By typing my name on the provided line, I am certifying that the information in this application is complete, accurate and true. I understand that only completed applications will be considered. I understand that students and families who do not comply with policies and expectations as stated in the OAYO Handbook may not be eligible for future scholarships.
Your answer
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