Scholarship - test - Greater Twin Cities Youth Symphonies

Student Information

How many students are you completing this application for?*

Student 1 Name:*

First Last

Student 1 instrument:*

Student 2 Name:*

First Last

Student 2 instrument:*

Student 3 Name:*

First Last

Student 3 instrument:*

Student 4 Name:*

First Last

Student 4 instrument:*

What school(s) will your student(s) attend in 2020-21?*

If applying for a scholarship for more than one student, please enter each student's school. Please enter the full name of the school (instead of an acronym).

Are any of the schools listed above tuition-based?*

Yes
No

Do you receive need-based tuition assistance?*

Yes
No

Does your family qualify for the 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 child/these children?*

Yes
No

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

Select additional parent 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:*

List the current combined annual income from all Parents/Guardians who are part of this student/these students' financial support system.*

Statement of Need

Scholarship awards are based on demonstrated financial need. Please describe why your family is requesting a scholarship, including any special circumstances you may be experiencing as a result of COVID-19 or other hardships. GTCYS reserves the right to request additional information, clarification, or documentation.

Enter your statement of need here:*

Requested Documentation

Because GTCYS scholarships are based on demonstrated financial need, we request verification of your financial information, 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 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 a scholarship, we will be responsible for paying any tuition balance (not covered by the award) by the deadlines. In accepting a scholarship from GTCYS, we will abide by the attendance policy and the code of conduct, and understand that our scholarship 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 2020-21 program.

Select the box below to signify your signature.*

I agree with the above statement.

Greater Twin Cities Youth Symphonies Mark Russell Smith, Artistic Director

Scholarship – test

Scholarship Application 2020-21

Student Information

Financial Information

Statement of Need

Requested Documentation

Signature and Award Expectations

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