6-Week Piano Course Scholarship Application
Thank you for your interest in our piano course. To help us determine your eligibility for a full or partial scholarship, please fill out the following form.
Parent/Guardian Info
First Name
Last Name
Email Address
*
Phone
*
Student Info
Name
*
Date of Birth
*
Grade
*
School
*
Family's Interest and Motivation
Why does your family want this opportunity for the student to learn piano?
*
How motivated is the student to learn piano on a scale of 1 to 10?
*
Does the student have any previous experience with playing an instrument or taking music lessons?
*
Yes
No
Please specify the instrument and the duration of lessons:
Financial Information
Are you applying for a full scholarship or a partial scholarship?
*
Full Scholarship
Partial Scholarship
If applying for a partial scholarship, what amount would you be able to contribute towards the $125 course fee?
*
$0
$25
$50
$75
$100
Additional Information
Please provide any additional information that you would like us to know.
Send Message
Please do not fill in this field.
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