Tuition Assistance Application Form

Application for Tuition Assistance

JazzArtsAcademy.org
Although the Academy is a fee based program, tuition assistance grants and a limited number of full scholarships are available. Please apply early, as these opportunities are limited.

Students who accept tuition assistance are expected to be fully committed to the course and to their assigned ensemble. Students must attend all rehearsals, showcase concerts, and be ON TIME. Behavior problems such as bullying, disruptions, and disrespect for teachers or other students is grounds for immediate expulsion from the program. Families are also expected to be willing to volunteer at various organization events during the year such as concert events or fundraisers for the organization.

***Tuition includes course materials, study guides & sheet music***

To apply please fill out this form and submit.

ALL INFORMATION WILL REMAIN STRICTLY CONFIDENTIAL
Student Information
Student First Name*
Student Last Name*
Student Date of Birth*

MonthDayYear
Grade or Year Level*
Current School and City*
Student Phone Number Optional

Area CodePhone Number
Email
example@example.com
Address

Street Address

CityState / Province

Postal / Zip Code
Primary Instrument*
Secondary Instrument
Are you a member of the music program in your school? Please provide this information. Include your band director's name and your private teacher if you have one.*
Are you attending any other program for music training outside your own school? Please describe.*

By signing (and typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application / or are a Parent/Guardian completing on behalf of a minor.
Applicant's Signature*

Clear
Parent or Guardian Name*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Name of Student*

First NameLast Name
Should be Empty:

Application for Tuition Assistance