Please fill out the form below as accurately as possible. Required fields are notated with *. Step 1 of 4 25% Name of Student(Required)Instrument(Required)Which ensemble will you enter this year?(Required)Preparatory EnsemblePrelude EnsembleAcademy EnsembleYouth EnsembleAddress(Required) Street Address City State Zip Code Student Phone Number(Required)Student Email(Required) Parent #1 InformationParent #1 Name(Required)Home/Mobile PhoneWork PhoneEmail Use same address as student?(Required) Yes No Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code Parent #2 InformationDo you want to enter a second parent contact?(Required) Yes No Parent #2 Name(Required)Home/Mobile PhoneWork PhoneEmail Use same address as student?(Required) Yes No Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code Private Instructor NamePrivate Instructor PhoneYears of Private StudyCost of lessonsSelect your family income last year(Required)Less than $19,999$20,000 to $29,999$30,000 to $39,999$40,000 or moreNumber of children or dependents in household(Required)Do you own or rent your home?(Required) Own Rent What is your monthly housing payment?(Required)List unusual long-term expenses and amount you pay each month (example: medical bills)Describe your financial situation and the reason you are applying for a scholarship.(Required)Scholarship money is limited and the awarding of scholarships is based on financial need.All information on this form is kept in the strictest confidence. Please Enter your initials and date below to signify the information you have entered is true, to the best of your knowledge.Initials(Required)Enter today's date(Required) MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
