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Scholarship Application- Deadline April 15
Camper’s
First Name _______________Last Name __________________ Birthdate
____/____/___ Age _____ Grade just completed _______
Address
___________________________ City
___________________ Zip
____________ Home Phone ____________________________________
School
attended this year_____________________ Parent/Legal Guardian___________________
Relationship to child ___________________
Gender:
M/ F
Mother Work # ___________________ Father Work # _______________________
Alternate cell # ____________________
Daytime
Emergency # (if different from above)
_____________________ Name of
Person at Emergency #______________________________
Special
Information about camper (medications, allergies, etc.):
_________________________________________________________________
Camper’s
music experience
____________________________________________________________________________________________________
Circle
session(s) child wishes to attend: Session I Session
II ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Mother's Name _______________________ Occupation _______________ Father's Name _______________________ Occupation ____________________ Are parents married? yes no Annual Family Income ______________________________ 1. Please explain why your child should be awarded a MusicMakers! scholarship. Include financial hardship, family situation, talent, exceptional interest, or any other pertinent information.
2. How much can you
realistically afford to pay for tuition? _____
(Tuition
is $235/session or $440 for both sessions) 3. Are you seeking a
full or partial scholarship? ______________
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