BSM | Financial Aid Application Summer 2023

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/.
Important Information

Bloomingdale's brownstone will be closed throughout the months of July and August to make way for extensive renovations of the third, fourth, and fifth floors. While renovations take place, we will be hosting all lessons and classes at the School at Columbia, our neighbor down the street!

Lessons and classes will occur at the School at Columbia at 556 W 110th St, between the hours of 9am and 3pm from July 10th through August 4th. Students who are looking to take lessons outside of those hours or between August 7th and August 19th will have the option of taking their lessons online for ease of flexibility.

The application deadline for Summer 2023 is June 15th.
Which of the following best describes you?*

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

a new student/familya 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).

New Families
Primary Parent Name:*

First NameLast Name
Primary Phone Number:*
Email Address:*
example@example.com

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 NameLast 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.

Student 2

Student 3

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?*

YesNo
If yes, what is the total amount?
Have you received Public Assistance, SNAP Benefits, Unemployment, or Disability Benefits during the last year?*

YesNo
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)?*

YesNo
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 NameLast Name
Primary Class:*
Amount of aid requested for Student 1:*
Please factor in the TOTAL cost of classes as listed in the dropdown

Student 2
Name:

First NameLast Name
Primary Class:
Amount of aid requested for Student 2:
Please factor in the TOTAL cost of classes as listed in the dropdown

Student 3
Name:

First NameLast Name
Primary Class:
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 benefitsEvidence of unemploymentOther (please specify)
File Upload*

Cancelof
Signature of parent or adult student

Clear
Date

MonthDayYear
Date
Should be Empty:

Application for Financial Aid

New Adult Students

New Families

Current BSM Students

Financial Information

Enrollment Information

Certification