Financial Aid Reference Form
This form serves as a reference for students applying for a financial aid award at the Community Music School of Springfield. Confidential reference statements must be completed by a teacher, coach, instructor, community leader, religious leader or faculty member. They will not be accepted if they are filled out by a family member.

Thank you for taking the time to complete this reference form. Reference comments are an important aspect of this application process. Please complete this form carefully. All information you provide will be treated confidentially.

Student's First and Last Name *
Your answer
Instrument *
Your answer
How long have you known this student? *
Your answer
Has the applicant maintained sincere interest in their studies? Please describe 3 examples. *
Your answer
Comment on any other qualities of the applicant and provide your opinion of the applicant's promise in the future. *
Your answer
At what level is this student currently studying their instrument? *
Required
Do you have a recommendation for the most appropriate length of a private lesson for this student? *
Required
Please indicate your personal rating of the applicant using a scale of 1 - 10, where 10 is the highest rating, 1 is the lowest. If you feel you have no basis to judge certain criteria check N/A.
1
2
3
4
5
6
7
8
9
10
N/A
Dependability
Initiative
Cooperation
Musical talent independent of training
Technique
Musical creativity
Artistic interpretation
Musicianship
Overall impression
Your Name *
Your answer
Title or Position *
Your answer
Email
Your answer
Phone *
Your answer
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