2018-2019 Scholarship Form
Generally scholarships are available for a maximum of one-half of a student's tuition we do ask families to contact us about a payment plan for the remainder recognizing people make choices concerning such things as sports activities, lessons, vacations, etc. Awards are based solely on need, not on talent or merit.

All information shared in this application form is confidential. The managing director will review this application to determine whether we can award a scholarship and, if so, what amount of help is available. Pacific Youth Choir reserves the right to request documentation to verify information supplied on this application.

Installment Payment Information
No matter the amount you are paying, 1st half of tuition is due Sept. 1 and 2nd half of tuition is due Dec. 1. If this doesn't work for you, please contact the PYC office about making payment arrangements. Regardless of individual payment installment situations, tuition must be paid in full by April 1st. Any additional balances after May 1 will be subject to a late fee.
Singer's Full Name *
Your answer
Choir Level *
Year Joined PYC *
Parent or Guardian's Name *
Your answer
Address *
Your answer
City, State, Zipcode *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Non-Discriminatory Statement
Pacific Youth Choir admits students of all races, colors, national and ethnic origins to all the rights, privileges, programs and activities generally accorded to students of the organization. It does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational policies, scholarship programs, or other organizational events and services.
Household Income
This scholarship request is for *
Your answer
Who should we contact for questions/possible interview? *
Your answer
Phone Number *
Your answer
Best time to call
Please list any source of gross income (before taxes) received by any person in your household including: income from employment, grants (if an educational grant, please indicate), gifts (such as from family members), child support, alimony, social security, food stamps. If you are self employed please list your net income.
Please list all people living in your household, their ages, employer or school, and Annual income and source *
example: Jane Smith 48 Self-Employed $25,000
Your answer
Do you own or rent your home? *
Please list your investments, including property, and their value *
Your answer
Please state how much scholarship aid you estimate you will need for your child. *
Your answer
Do you have any unusual circumstances that affect your ability to pay your child's tuition? If these are financial circumstances, please provide detail.
Your answer
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