2024 Symphony Tour Need-Based Assistance Application - Greater Twin Cities Youth Symphonies

Student Information

Student Name:*

First Last

Student instrument:*

Select this student's status in GTCYS*

Current 2023-24 school year GTCYS student
2023 GTCYS Graduate

List the name of the school this student is attending in the 2023-24 school year.*

Please enter the full name of the school (instead of an acronym). Indicate if this school is post-secondary (i.e. college/university) if the student is a 2023 Symphony graduate.

Is this school tuition-based?*

Yes
No

Does this student receive need-based tuition assistance to attend this school?*

Yes
No

Does your family qualify for Educational Benefits (previously known as Free or Reduced Price School Meals program)?*

Yes
No

List the district name and number where you receive Free or Reduced Price School Meals (i.e. St. Paul, 625):*

IMPORTANT REQUESTED DOCUMENTATION If you answered yes, please include the award letter from your school district in your follow-up materials.

List the number of children living at home.*

Age 18 and under.

Financial Information

Please complete the parent/guardian information below for all adults who are part of the student(s)’ financial support system.

Parent/Guardian #1 Name*

First Last

Parent/Guardian #1 Email*

Enter Email Confirm Email

Does Parent/Guardian #1 have income from employment and/or any other sources?*

Check yes if this parent receives income from a job, unemployment or disability benefits, retirement distributions, investment income, or any other sources.

Yes
No

Select Parent/Guardian #1 employment:*

Other (please describe):*

Describe Parent/Guardian #1 employment and/or income source(s).*

If employed, please list job title and/or position and employer name. If not currently employed, please explain.

Parent/Guardian #1 current annual income:*

Does this student have another custodial parent/guardian?*

Yes
No

Parent/Guardian #2 Name*

First Last

Parent/Guardian #2 Email*

Enter Email Confirm Email

Does Parent/Guardian #2 have income from employment and/or any other sources?*

Check yes if this parent receives income from a job, unemployment or disability benefits, retirement distributions, investment income, or any other sources.

Yes
No

Select Parent/Guardian #2 employment:*

Other (Please describe)*

Describe Parent/Guardian #2 employment and/or income source(s).*

If employed, please list job title and/or position and employer name. If not currently employed, please explain.

Parent/Guardian #2 current annual income:*

Do any additional parents/guardians financially support this student?*

Yes
No

Additional parent/guardian names and relationships to the child/children in this application:*

Select additional parent/guardian employment:*

Other (please describe):*

Additional Parent/Guardian employment and/or income source(s).*

If employed, please list job title and/or position and employer name. If not currently employed, please explain.

Additional Parent/Guardian current annual income:*

Does this student have any income?*

Check yes if this student receives income from a job, investment income, or any other sources.

Yes
No

Describe student employment and/or income source(s).*

If employed, please list job title and/or position and employer name.

Student current annual income:*

List the current combined annual income from all Parents/Guardians who are part of this student's financial support system plus the student's annual income (if applicable).*

Statement of Need

Need-based assistance for the 2024 Symphony tour is based on demonstrated financial need, though we also take special circumstances into consideration. Please describe why your family is requesting tuition assistance, including any special circumstances you may be experiencing that are impacting your family's finances. GTCYS reserves the right to request additional information, clarification, or documentation.

Enter your statement of need here:*

Tour budget for this student*

The per-student tour cost is $4,895. The minimum payment for the families with the highest need is $500. Estimate the amount that you will be able to pay for tour by entering a whole number between $500 and $4895 below:

Please enter a number from 500 to 4895.

REQUIRED DOCUMENTATION
Because GTCYS tuition assistance is based on demonstrated financial need, we request verification of the financial information you have reported above, which GTCYS keeps in strict confidence. Please email the following document(s) to Katie Heilman at katie@gtcys.org or mail a copy to the GTCYS Office at 408 St Peter Street, Suite 300, St. Paul, MN 55102:

- Copy of each custodial parent’s and this student's most recent Federal income tax return(s), Form 1040. Please block out any social security information. If you are unable to obtain Form 1040 tax documents, please submit another form of income verification. Accepted forms of verification include: W-2 tax form, recent paystub, proof of unemployment or disability benefits, proof of retirement/ investment distributions, etc. If you cannot obtain any of these documents, GTCYS will work with your family to resolve this.

-Written verification from your school district of your Free or Reduced Price School Meals program status (only submit if your family receives Free or Reduced Price School Meals)

Signature and Award Expectations

Check the box below to signify that you agree with this statement:

We certify that we have provided current, accurate and truthful information. We understand that should we receive tuition assistance, we will be responsible for paying any tour tuition balance (not covered by assistance) by the deadlines. In accepting tour tuition assistance from GTCYS, we will abide by the attendance policy and the code of conduct, and understand that our assistance may be rescinded if we fail to fulfill our commitment. We agree to inform GTCYS if our financial situation changes during the course of the program.

We understand that student who are deviating from the flight plan are not eligible for tour tuition assistance.

We understand that students whose families are traveling to Europe during the tour are not eligible for tour tuition assistance.

Select the box below to signify your signature.*

I agree with the above statement.

Student Information

Financial Information

Statement of Need

Signature and Award Expectations

Serving Community. Supported by Community.

Serving Community.
Supported by Community.