Financial Aid Applications
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3Goodman House
129 West 67th Street, New York, NY 10023
T 212 501 3360 | F 212 874 7865
Scholarship Program Contact: Kelly Bodami
T 212 501 3364
APPLICATION FOR FINANCIAL AID AND MERIT AWARDS
Applications for financial aid cannot be considered unless all of the following questions are answered completely. Personal
and financial information will be held in the strictest confidence. Please submit the completed form, together with copies of
W-2 forms, a copy of your current year Federal income tax return, and current pay stubs to the Education Office by the stated
deadline. Any application that is received after the stated deadline, or is not completed in its entirety, will not be considered.
APPLICATION DEADLINES
Returning students: MAY 1
New students: JUNE 16
STUDENT INFORMATION
(Please print)
Name of applicant __________________________________________________________________________________________
Last/Family
First/Given
Name of Academic School ______________________________________ Grade in school ______ Date of birth___________
Did this student receive financial aid in 2013-14? Yes ___ No ___
If Yes, what was the amount of the award? $________
What instrument does the student study? _________________________ Number of years at Lucy Moses School _____________
Name of private teacher(s) at Lucy Moses School ____________________________
Please ask your teacher(s) to submit a letter of recommendation on your behalf for financial aid consideration.
What will you enroll for at LMS? Please be as specific as possible (i.e., private lessons, theory, ballet, theater).
____________________________________________________________________________________________________________
Will you be in the Music Certificate Program? Yes ___ No ___ Will you be in the Young Artist Program? Yes ___ No ___
Are there other siblings in the family? Give names and ages; indicate if they are currently students at the Lucy Moses School:
__________________________________________________________________________________________________________
Does the applicant study music at another school or privately? If yes, with whom and where?
__________________________________________________________________________________________________________
PARENT/GUARDIAN INFORMATION
Parent or guardian ______________________________________________________ Relationship_________________________
Home address ___________________________________________________________________________________ Apt. _____
City _________________________________________________ State ________ Zip _____________________________________
Home (
) _____________ Cell (
) ______________ E-mail _________________________________________________
Employer___________________________________________________________________________________________________
Nature of business______________________ Position held ________________________________ Number of years? _________
Second parent or guardian _______________________________________________ Relationship_________________________
Home address (if different) ________________________________________________________________________ Apt. _____
City _________________________________________________ State ________ Zip _____________________________________
Telephone: Home (
) ______________ Cell (
) ______________ E-mail ______________________________________
Employer___________________________________________________________________________________________________
Nature of business______________________ Position held ________________________________ Number of years? _________
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