“Spreading the Harmony”

Application Form

Required for consideration:

A copy of the first page of your most recent US Federal Income Tax Return (SSN or Tax ID blacked out) is required. Please contact us for more details.
A parent/guardian of any Spreading the Harmony recipient must serve on the LYS Board as a General Member for the season.

Musician Name

First Name

Last Name

Instrument

Musician Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School

Grade

Does Musician qualify for public school free/reduced lunch program?

Does Musician participate in their School music program? If not, please tell us why:

Private Lesson Info

Private Teacher Name

Private Teacher Email

Private Teacher Phone

(###)

###

####

Private Lessons for how long?

Are you applying for assistance with private lessons?

Parent/Guardian Info

Parent/Guardian 1 Name

Parent/Guardian 1 Email

Parent/Guardian 1 Mobile

(###)

###

####

Parent/Guardian 1 Occupation

Parent Guardian 1 Employer

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Parent/Guardian 2 Mobile

(###)

###

####

Parent/Guardian 2 Occupation

Parent Guardian 2 Employer

Total Family Annual Income (before taxes)

Other Children or Dependents and Ages

Amount of Scholarship Requested

Are you able to volunteer to help with LYS fundraising projects, Board of Directors, professional services or concerts? (Please be specific regarding what talents and time you can bring to LYS.)

Scholarships will be awarded on the basis of financial need; however, please use this space or attach a letter in which you explain any extraordinary circumstances that might help the Scholarship Committee understand your need. The Longmont Youth Symphony will hold all information in strictest confidence.

A copy of the first page of your most recent US Federal Income Tax Return is required. Please contact the Administrator (info@longmontyouthsymphony.org) for more details.

“Spreading the Harmony”

Application Form

Questions? Contact Us!

Thank you to our Supporters!