Music Education Assistance Form

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Please read: If you are a school, college or youth focused group, (Variety Club, YMCA, local senior center, etc.) needing funding for items which are related to musical pursuits or music education for youth, (musical instruments, supplies, uniforms, music books, learning materials, etc.), fill out this form and click the submit button at the end of this form.

Your Organization Information

Organization/School Name

Address

City

State

Zip Code

School District

School District City

Contact Name Information

First name

Last name

Title or Job Description

Contact Phone

Contact Address

Contact City

Contact State

Contact Zip Code

Let us know what your organization needs funding for: (Examples: Band or orchestra musical instruments, supplies, music stands,etc; Marching Band, Glee Club or Choir uniforms; musical instruments or supplies for your organization's youth education programs; learning materials, books, audio, video music instructional material; tutors, teachers for private lessons for advanced training of sutdents; any other music educaiton related endeavours)

Write here about the specific items needed, quantity, specific projects and how your funds will be utilized: