Scholarship Application Form

Parent / Guardian Email*

Contact Phone*

Grade as of September 2, 2023*

School*

Instrument*

Number of years playing instrument*

Which orchestra did you audition for?*

Number of Years in WYSO*

How many years have you taken private lessons?*

How many siblings currently in WYSO and/or Music Makers?*

Private Teacher Email*

Financial Information

Total Annual Income for Previous Tax Year (2022)*

Please select which income range best reflects your annual income in 2022.

Total number of dependents*

What is your estimated income for 2023?*

Family Information

Special Circumstances*

Describe in detail any special circumstances or financial problems that the committee should know when considering your application. (Examples: extreme ongoing medical expenses not covered by insurance, COVID-19 economic impact, job loss, etc.) Enter N/A if you do not have any special circumstances for the committee to consider.

Instrument Assistance*

Please describe the type of instrument assistance you need and how you plan to use this scholarship.

WYSO Participation*

For the Parent / Guardian - Family participation is required in the WYSO scholarship program (such as volunteering to take rehearsal attendance, ushering at concerts, taking photos, etc). How does your family plan on fulfilling this required element?

Student Information*

For the Student - In a maximum of three paragraphs, tell us about yourself. You may describe your musical background and influences, hobbies, extracurricular activities, part-time employment, awards, and anything else you see as relevant to this application.

Today's Date*

Date of Form Submission

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Financial Information

Family Information