OKYO Special Scholarship Application
2022-2023 Season
Student Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Guardian 1 Full Name
First Name
Last Name
Guardian 1 Address (if different from student)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian 1 Email
example@example.com
Guardian 1 Phone Number (if different from student)
Please enter a valid phone number.
Guardian 1 Occupation
Guardian 1 Employer
Guardian 1 Annual Income Before Taxes
Please upload a copy of Guardian 1 most recent W-2 or 1099.
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Guardian 2 Name
First Name
Last Name
Guardian 2 Email
example@example.com
Guardian 2 Address (if different from student)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian 2 Phone (if different from student)
Please enter a valid phone number.
Guardian 2 Occupation
Guardian 2 Employer
Guardian 2 Annual Income Before Taxes
Please upload a copy of Guardian 2 most recent W-2 or 1099.
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Please list the amount and sources of any additional family income you may have. This could include child support, support for educational expenses, trust funds, social security for children, rental properties, etc.
Please list the names of any additional dependent or college-aged children. Please include their ages.
Please list the monthly amount of any car payments you may have:
Please list the monthly amount of any medical bills you may have:
Please list the monthly amount of any credit card debt you may have:
Please list the monthly amount of any rent or mortgage payments you may have:
Please list the monthly amount and describe any other debts you may have:
Student Essay: In 100-200 words, please have your student describe why music matters to them and why they want to be part of OKYO.
Family Needs Statement: Please describe why your family is seeking a Special Scholarship along with any other relevant information you wish for the committee to consider when determining awards.
By typing your name below, you acknowledge that you have represented accurate information in this application and provided fair disclosure of your present financial situation. You further acknowledge that this application will be reviewed by a committee set forth by the OKYO Board of Directors and that your information will remain confidential.
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