Request for Financial Aid: Private Lesson Assistance - Greenville County Youth Orchestra

Name *

Person filling out this form.

Email *

Person filling out this form.

Student Information

Student Name *

Current GCYO Ensemble *

Young Artist Orchestra

Philharmonic

Intermezzo

Prelude

Student Lives With *

Both Parents/Guardians

One Parent/Guardian

OtherOther

School attending *

Current grade *

Parent Information

Parent/Guardian #1 Name *

Parent/Guardian #1 Email *

Parent/Guardian #1 Phone *

Parent/Guardian #1 Employer *

Parent/Guardian #1 Job Position *

Parent/Guardian #2 Name

Parent/Guardian #2 Email

Parent/Guardian #2 Phone number

Parent/Guardian #2 Employer

Parent/Guardian #2 Job Position

Financial Information

Own or Rent Home *

Own

Rent

Total number of children in the home *

Number of children on free/reduced lunch *

Number of children in GCYO *

Number of children in college *

Annual Household Income *

Total yearly income for the family

Please share any extenuating circumstances you feel will assist the financial aid committee in evaluating your student's needs.

Private Lesson Teacher (teacher who will be receiving the award payment on your behalf)

Instrument *

Financial aid awards MUST be used for lessons on the orchestral instrument you play for GCYO.

Private Teacher Name *

Teachers Email *

Teacher's phone number

Cost Per Lesson *

Please note that this is an ASSISTANCE program, designed to HELP with the cost of private lessons, not cover them completely.

Lesson length (in minutes) *

Teacher Recommendation: We must receive a recommendation letter emailed to the Executive Director by the deadline from either the private teacher you are studying with OR a classroom band or orchestra instructor.

Recommending Teacher Name *

Recommending Teacher Email *

Signatures: Entering your name on this application serves as your electronic signature. You affirm that the information provided is true and complete to the best of your knowledge.

Parent/guardian Signature *

Student Information

Parent Information

Financial Information

Private Lesson Teacher (teacher who will be receiving the award payment on your behalf)

Teacher Recommendation: We must receive a recommendation letter emailed to the Executive Director by the deadline from either the private teacher you are studying with OR a classroom band or orchestra instructor.

Signatures: Entering your name on this application serves as your electronic signature. You affirm that the information provided is true and complete to the best of your knowledge.

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