Scholarship Application Student 1 Name * First Name Last Name Birthday * MM DD YYYY Student 2 Name First Name Last Name Birthday MM DD YYYY Student 3 Name First Name Last Name Birthday MM DD YYYY Do any of the above students have any medical, learning, behavioral or other special considerations / circumstances of which the school should be aware? (Please explain): * What instrument/class is the student interested in? * Choose from piano, voice, ukulele, guitar, musical theater, or glee club. Is there any other information about the student you would like us to know? (Please explain:) Family & Financial Information Guardian 1 Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Guardian 2 Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email Phone (###) ### #### Family Members * My Child is Eligible for: * Free Lunch Reduced Lunch Neither Please list your annual household income from 2023, and estimate 2024: * Additional documentation may be requested. Please add any other helpful financial information: Agreement: Guardian 1 * By typing my full name, I acknowledge that the above information is accurate and complete to the best of my knowledge. Agreement: Guardian 2 By typing my full name, I acknowledge that the above information is accurate and complete to the best of my knowledge. Thank you for applying for a music scholarship with FAME! A staff member will contact you to follow up within 24-48 hours. Answers below will be used solely to determine scholarship status. Any information given will be kept confidential and will only be shared with the scholarship committee.