Tuition Assistance and Private Lesson Scholarship Application

Student First Name *

Student Last Name *

Please indicate if you are applying for Tuition Assistance, Christine J. Cooper Private Lesson Scholarship or both.(Please note: There are no more lesson scholarships available for the 2023-24 year.) *

Tuition Assistance

Christine J. Cooper Private Lesson Scholarship

Age *

SYS Orchestra in 2023-34 *

Does your child qualify for Free or Reduced Lunch? (To determine eligibility if the student is homeschooled or attends private school, please see 2023-24 Income Eligibility Guidelines at www.SpokaneYouthSymphony.org and go to Tuition Assistance) *

Parent #1 First and Last Name *

Parent #1 Email *

Parent #1 Phone *

Parent #2 First and Last Name

Parent #2 Email

Parent #2 Phone

Yearly Household Income *

Number of Adults in Household *

Number of Children in Household *

Have you applied for an SYS Tuition Assistance or a Private Lesson scholarship before? *

Upload Eligibility of National School Lunch Program, Attach Previous Year Tax Form, and/or Statement of Need from Community Member. (Attachment) *

Student Signature *

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Parent Signature *

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Private Lesson Teacher First and Last Name (if applicable)

Please include any special considerations that the committee should consider.