End-of-Trimester Jolidon Organ Lessons Scholarship Instructor Report
To be filled out by the instructor at the end of each trimester; one form per student. 
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Student Name *
Instructor Name *
Dates and durations of completed lessons *

Lessons are subsidized at a rate of $60 per lesson-hour, not to exceed the total of a student’s trimester award ($300, $600, or $900). The student is responsible for any remaining cost of lessons beyond the scholarship, paid directly to the instructor. 

Please select the award amount requested for completed lessons.

 *
How would you prefer to receive the disbursement? 
For quicker disbursement, please select an electronic option. 
 *
If you selected Venmo or Zelle, please provide your username. 
If no username is provided, you will receive a paper check. 
Briefly describe student progress and commitment to study this trimester.  *
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