2024-2025 Financial Assistance Request Form

NJIO Financial Assistance Form

NJIO has a limited capability to provide financial assistance to offset registration fees, generally up to 50% of standard rates, for those with a financial need. NJIO can also provide a payment plan if financially necessary. Please provide the information below for us to review. Your information will be held in confidence.
Name of person submitting this form*

First NameLast Name
Email*
example@example.com
Is this registration for you or someone else*
Name of Person playing with NJIO*
Which Ensembles do you think you might join?*

Prelude - Beginner with basic skillsIntermezzo - Intermediate skill levelSymphony - Advanced ensembleOutreach Ensemble - Monthly rehearsals and community performances
What Instrument will be played? *
What is your (or your minor's) Membership category*
Please provide a short description about your need for financial assistance or a payment plan.*
Should be Empty:

NJIO Financial Assistance Form