Request for Financial Aid: Summer Studies - Greenville County Youth Orchestra

Name *

Person filling out this form.

Email *

Person filling out this form.

Student Information

Student Name *

Orchestra student is currently in *

Student Lives With *

Both Parents/Guardians

One Parent/Guardian

OtherOther

School currently attending *

Current grade in school *

Home Address

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

Years living in current home *

Total number of children in the home *

Number of children on free/reduced lunch *

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.

Summer Study Information

Instrument *

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

How will you use the award? Be specific. Provide name of camp or private teacher you will be studying with. *

Total cost of summer program. *

Financial Aid amount requested. *

Teacher Recommendation: We must receive a recommendation letter emailed to the Executive Director (david.kiser@gcyo.net) 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 *

Students who receive scholarships are expected to remain for the following year.

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 *