Lanta Gras Music Program — Scholarship Application
This form needs to be completed by the candidate's parent/guardian

Eligibility and Priority: Student eligibility is extended to children who attend public school in the Jackson Cluster and/or reside in the NPU-O neighborhoods of Kirkwood, East Lake and Edgewood — as well as parents/guardians who are employed within this NPU-O zone in the following professions: schools (pre-K through 12), first responders (Police, Fire and Rescue) and military service. Our candidate age group is 4th-12th grades, but younger candidates may be considered. We offer free music lessons and instruments for an entire school year (up to 30 lessons). Instructors provide lessons at a local business venue. Applying for this scholarship is a commitment to attend weekly lessons and an agreement to march with us in our annual "Lanta Gras" parade, which is held in Kirkwood on the last Saturday in January. Happy Lanta Gras!

Email address *
Applicant will receive priority consideration if any of the following apply (student or student's parent/legal guardian): *
Please check any/all that apply
Required
STUDENT'S NAME (Full Name) *
Your answer
STUDENT'S HOME ADDRESS *
Your answer
STUDENT'S CURRENT SCHOOL *
Your answer
PRIMARY EMAIL (PARENT/GUARDIAN) *
Your answer
ALTERNATE EMAIL (PARENT/GUARDIAN/STUDENT)
Your answer
PRIMARY PHONE NUMBER (PARENT/GUARDIAN) *
Your answer
ALTERNATE PHONE NUMBER (PARENT/GUARDIAN/STUDENT)
Your answer
STUDENT'S AGE *
Your answer
DATE OF BIRTH *
MM
/
DD
/
YYYY
GENDER *
CURRENT GRADE (K-12) *
PREFERRED INSTRUMENT(S) *
Check at least one instrument (select no more than two)
Required
Ethnicity *
This information is for grant eligibility purposes only and does not determine eligibility. LGMP serves youth of all races.
Required
What is applicant's parent/guardian total household income range? *
Briefly tell us why you are interested in Lanta Gras Music Project. Include any previous music lessons or other relevant experience (less than 150 words). Also, please send an email to Lantagras@gmail.com after submitting the application; please put "Application submitted" in the subject line. Thank you for applying! *
Your answer
Who referred you to the Lanta Gras Music Program? *
PARENT/GUARDIAN SIGNATURE *
Type name of parent/guardian who is authorized to give consent for student participation in LGMP
Your answer
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