Program Scholarship Request Form
We are excited that you have chosen to involve us in your child’s desire to play and create music. Please complete this application so your child can start on their musical experience. If you are interested in requesting an instrument donation, please visit: https://www.tbmoutreach.org/requestaninstrument.html
Camp/program requested
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Please Select
Live it OutLoud
Jazz Camp
Instrument Exploration Camp
Sprouting Joy
Scholarship Amount Requested
*
Please Select
25%
50%
75%
100%
Student Name
*
First Name
Last Name
Student Age
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Please Select
07
08
09
10
11
12
13
14
15
16
17
Parent/Guardian Name
*
First Name
Last Name
Contact Email
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please describe your financial need. Include household income and family size.
*
Our scholarship program operates on an honor system based on genuine financial need. We kindly ask that you apply only if tuition would create a significant financial hardship for your family.This program exists to ensure that financial barriers don't prevent students from experiencing the joy and benefits of music education. By thoughtfully considering your family's circumstances before applying, you help us direct our limited resources to those who need them most.We trust in your integrity and appreciate your honesty in helping us serve our community effectively.
Please describe how your child will benefit from their musical experience.
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Does your family receive any of the following: free/reduced lunch, SNAP, WIC, TANF, or other financial assistance?
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Yes
No
The above information is true and factual.
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Yes
Parent Guardian Signature
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Please verify that you are human
*
Should be Empty: