CCSA Financial Assistance Application

2025-2026 Financial Assistance Application
Which programs would you like to be considered for when applying for financial aid? (Please select all that apply.)*

Summer Camp (July 2025)25-26 Choral Season Tuition
Singer Name*

First NameLast Name
Singer (2) Name

First NameLast Name
Primary Parent Name*

First NameLast Name
Second Parent Name

First NameLast Name
Home Address*

Street Address

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
# in Household*
# of Dependents in Household*
(Qualifying child or relative, cannot be a spouse)
Primary Parent Occupation*
Primary Parent Annual Income ($)*
Second Parent Occupation
Second Parent Annual Income ($)
Other Income Source(s)
Other Income ($)
Briefly state your need for assistance*
# of Years in CCSA*
How many years have you been a regular volunteer with CCSA?*
# of children enrolling in CCSA programs (Choir or Music Together)*
Please attach copies of your most recent: (a) IRS Form 1040 (first page only) and (b) W-2 Wage statement(s) and/or Form 1099(s).
2024 IRS Form 1040

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2024 W-2 Wage Statement #1

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2024 W-2 Wage Statement #2 (if applicable)

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Please read each item below and enter your initials in the box to signify your agreement.
FINANCIAL RESPONSIBILITY - I understand that I will be financially responsible for my child's total tuition cost for the 2025-2026 season, minus any potential Financial Assistance awarded.
Enter initials here*
CANCELLATION POLICY - I have read and understand the Cancellation Policy outlined in the CCSA Payment Policy. I further understand that, if I withdraw my child from participation in the CCSA 2025-2026 Season, any Financial Assistance awarded will be returned to the Organization and will not be considered as part of the amount on account for purposes of refund calculation.
Enter initials here*
Please sign the application. Typing your name in the fields below indicates an electronic signature.
I understand and agree to the terms outlined above.*

First NameLast Name
Date of Submission*

MonthDayYearHourMinutesAM/PM Option
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2025-2026 Financial Assistance Application