Financial Aid Application Form

Financial Aid Application Form
Personal Information

Please fill out this section completely.
Full Name*

First NameLast Name
Date of Birth

DayMonthYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you have multiple family members applying for programming?

YesNoOther
If yes, how many family members in total are applying?
Please list all the classes and lessons you have applied to for each student.
Have you applied for financial aid from us before?

YesNo
General Financial Information

Fill out the corresponding sections that best describes your situation.
What is the total household income received per month?*
Number of individuals in household (parents/guardians and dependents)*
Are the parents/guardians of the applicant employed?

YesNoOther
Do you receive income from any other source(s), (support, sponsorship, etc.)?

YesNoOther
What is the total of support/other income received per month?
Additional Documents (Required)

Parents/guardians are required to provide the most recent tax return or otherwise sufficient information to verify financial situation. Optionally, families may submit a letter of Hardship to describe any extenuating circimstances that may provide eligibility for further financial aid supplement. Students who are 8 years old and up are highly encouraged to submit a 250-word essay explaining the importance of music lessons, reflecting on the impact of past instruction, and/or outlining their expectations for the future.
Financial Verification Information*

Cancelof
Hardship Letter

Cancelof
Student Essay

Cancelof
Conditions Upon Acceptance
If your application is accepted, understand that the financial assistance offered to you is conditional and that to continue receving the same you must: a. Meet attendance requirements. b. Be making developmentally appropriate progress in your program of study, as determined by the music education director. c. Show growth in social-emotional skills. d. Take full advantage of programs offered through YMA.

The details of Financial Aid policies will be provided upon approval.
I hereby understand and accept the conditions therefore listed on the financial aid application.*

Accept
Signature
To be signed by your guardian/parent(s) if you will be claimed as a dependent and/or supported financially:
I affirm that the information in this form is true and accurate according to my knowledge.
Signature

Clear
Date

DayMonthYear
Should be Empty:

Financial Aid Application Form

Personal Information

General Financial Information

Additional Documents (Required)

Conditions Upon Acceptance

Signature