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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 $210/session or $400 for both sessions) 3. Are you seeking a
full or partial scholarship? ______________
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