BSM | Financial Aid Application 2022-23

Application for Financial Aid

Before completing this application, please be sure to carefully read our application guidelines. You may find all application guidelines on our website at https://www.bsmny.org/music-programs/financial-aid/.
General Information
Semester for which you are applying: *

Fall 2022 Spring 2023
The due date for Fall 2022 is August 15th
The due date for Spring 2023 is January 15th
Which of the following best describes you? *

I am an adult student applying on behalf of myself I am a parent applying on behalf of my child/children
Are you a new or returning applicant? *

a new student/family a returning student/family
IMPORTANT NOTE:

Based upon available resources, Bloomingdale School of Music is pleased to be able to provide need-based tuition assistance for early childhood, group class, and private instruction for students of all ages. To evaluate individual needs, Bloomingdale School of Music requires as much information as possible about an applicant's financial situation and families are required to submit proof of income along with their application. Every application is reviewed on its own merits and awards are granted at the discretion of the Financial Aid Committee through a confidential review process. Please note, the information you supply will be confidential; only people directly concerned with granting financial aid will see it.

New Adult Students
*
*Please note: Gender and ethnicity information is optional; the information gathered is for statistical purposes that is helpful to Bloomingdale School of Music in order to report and secure critical foundation support for financial aid scholarships. Bloomingdale School of Music does not discriminate on the basis of race, color, nationality, gender, sexual orientation, ethnic origin, religious belief, or gender self identification.
Do you own an instrument? *

Yes, I already own an instrument. No, I do not have an instrument, but will obtain one (Note: Bloomingdale School of Music does have a limited number of instruments available to rent on a semester basis).

Student 1
*
*Please note: Gender and ethnicity information is optional; the information gathered is for statistical purposes that is helpful to Bloomingdale School of Music in order to report and secure critical foundation support for financial aid scholarships. Bloomingdale School of Music does not discriminate on the basis of race, color, nationality, gender, sexual orientation, ethnic origin, religious belief, or gender self identification.
Do you own an instrument? *

Yes, I already own an instrument. No, I do not have an instrument, but will obtain one (Note: Bloomingdale School of Music does have a limited number of instruments available to rent on a semester basis).

Student 2
Student Information
Do you own an instrument?

Yes, I already own an instrument. No, I do not have an instrument, but will obtain one (Note: Bloomingdale School of Music does have a limited number of instruments available to rent on a semester basis).

Student 3
Student Information
Do you own an instrument?

Yes, I already own an instrument. No, I do not have an instrument, but will obtain one (Note: Bloomingdale School of Music does have a limited number of instruments available to rent on a semester basis).

Current BSM Students
Primary Contact Name: *

First Name Last Name
Primary Phone Number: *
Please enter a valid phone number.
Primary Email Address: *
example@example.com
How has receiving Financial Assistance from BSM impacted your family's music studies? *
Feedback gathered from students is helpful to Bloomingdale School of Music in order to report and secure critical foundation support for financial aid scholarships.

Student 1
*
*Please note: Gender and ethnicity information is optional; the information gathered is for statistical purposes that is helpful to Bloomingdale School of Music in order to report and secure critical foundation support for financial aid scholarships. Bloomingdale School of Music does not discriminate on the basis of race, color, nationality, gender, sexual orientation, ethnic origin, religious belief, or gender self identification.

Financial Information

Please note: You will be asked to attach a copy of you most recent Federal Income Tax Form 1040 as proof of income AND/OR proof of assistance such as: unemployment, social security, any other type of public assistance, child support, alimony, etc. Your application cannot be processed without this information. All information submitted will be held in the strictest confidence.
Adult student/Parent 1 yearly salary before deductions: *
Parent 2 yearly salary before deductions (if applicable):
Do you receive financial support from relatives, alimony, or other monetary gifts? *

Yes No
If yes, what is the total amount?
Have you received Public Assistance, SNAP Benefits, Unemployment, or Disability Benefits during the last year? *

Yes No
If yes, what is the total amount?
How many members currently in household over the age of 18? *
How many household members under the age of 18? *
Do you have any family members who you support financially but do not live in the same household (i.e., college students or elderly parents)? *

Yes No
Please list their name(s), relationship and age:
Please explain your needs for financial assistance. Feel free to provide any other information you feel would help the financial aid committee develop a clearer picture of your family's financial situation (unusual medical bills, extraordinary expenses, any extenuating circumstances, etc.): *

Enrollment Information

Please fill out the following section carefully
A list of up-to-date course offerings and tuition prices can be found on our website at bsmny.asapconnected.com.

Please list all lessons or classes for which you intend to enroll. Please note: financial aid will only be granted for one (1) course of study per student. Second classes of chamber music, ensemble, or music theory will be considered on a case-by-case basis.

Student 1
Name: *

First Name Last Name
Primary Class: *
Secondary Class*:
*Please note: Secondary classes are considered on a case by case basis
Amount of aid requested for Student 1: *
Please factor in the TOTAL cost of classes as listed in the dropdown

Student 2
Name:

First Name Last Name
Primary Class:
Secondary Class*:
*Please note: Secondary classes are considered on a case by case basis
Amount of aid requested for Student 2:
Please factor in the TOTAL cost of classes as listed in the dropdown

Student 3
Name:

First Name Last Name
Primary Class:
Secondary Class*:
*Please note: Secondary classes are considered on a case by case basis
Amount of aid requested for Student 3:
Please factor in the TOTAL cost of classes as listed in the dropdown

Certification

Before certifying, please check back through your application and make sure all required information is included, to ensure a review of your application is not delayed.
I do hereby affirm that all of the information I have provided on this form is true to the best of my knowledge. I confirm I have read the financial aid guidelines and registration policies. I understand that any false or misleading statements on this financial aid form may result in aid re-evaluation. I understand my income needs to be verified and will mark below the documentation I am including with this application *

I am enclosing the first page of my most recently filed IRS Form 1040. I do not have a Form 1040. (see question below)
Instead of a Form 1040, I am enclosing

Evidence of public assistance benefits Evidence of unemployment Other (please specify)
File Upload *

Cancel of
Signature of parent or adult student

Clear
Date

Month Day Year
Date
Should be Empty:

Application for Financial Aid