Financial Aid Applications Page 3

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Please use this space to provide explanations of your answers, or to describe any unusual circumstances
which we should know in order to evaluate your application.
Signatures of Parents or Guardians
I/we hereby assure that all information supplied on this form is an accurate and true statement.
Parent or guardian signature
Date
Second parent or guardian signature
Date
OPTIONAL: Please select the option that best describes your child’s ethnicity:
 Caucasian
 African-American
 Hispanic-American
 Asian-American
 Native-American  Multi-Racial
 Other (please specify:______________________)
Kaufman Music Center/Lucy Moses School admits students of any race, color and national or ethnic origin to all the rights,
privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on
the basis of race, color or national or ethnic origin in administration of its educational policies, scholarship and loan programs,
and athletic and other school-administered programs.
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