Financial Aid Application printable pdf download

FINANCIAL AID APPLICATION

Financial aid is awarded based on household income eligibility. Requests for ﬁ nancial aid must be accompanied

by your most recent federal tax return, public assistance documentation, free/reduced lunch determination letter

or proof of unemployment. Incomplete applications cannot be processed. Supporting documentation cannot be

returned; please submit photocopies only. The student account must be current in order to be considered for

ﬁ nancial aid.

Date __________ Student name ____________________________________ New/returning student _____

Date of birth ____________ Grade _________ School ___________________________________________

Private teacher(s) _______________________________ Instrument/Class ____________________________

Length of lesson(s) ___________________ Length of time studying instrument(s) ______________________

Is student a member of PSO / KJSO / school choir / school band / school orchestra (please circle all that apply)

Other musical activity _______________________________________________________________________

Other family members studying at Crescendo ____________________________________________________

Parent/Guardian(s) _________________________________________________________________________

Address __________________________________________________________________________________

Phone (day) _____________________ (evening) ______________________ (cell) ____________________

Email address(es) __________________________________________________________________________

Income information (from 1040 income tax return):

Total number of exemptions _______ Adjusted gross income ___________ Earned income credit _________

Qualify for free/reduced lunch? ________ Amount of assistance requested per lesson/class _______________

Please list any unusual circumstances (such as medical expenses, recent unemployment or changes in income)

that may affect your eligibility for ﬁ nancial aid. Also list any additional information that could affect our

decision. (Attach additional pages/documentation if necessary.)

__________________________________________________________________________________________

Student/Parent/Guardian signature(s) ___________________________________________________________

Ofﬁ ce Use

Current account balance ______ Date ______

If balance due, parent contacted on ____________ Initials ______

Application rec’d. on ______ Initials ______

Income documentation rec’d. on ______ Initials ______

Aid awarded per lesson ______ Initials ______

Parent contacted on ______ Initials ______

Financial Aid Application