South Dakota Symphony: Scholarship Form

Student's last name
First name
Grade in school for 2008-2009
Date of Birth
Age
Instrument
Father's name
Mother's name
Total combined annual wages, salaries and other income before taxes, as listed on your 2007 or most recently filed income tax return.
Number of dependent children
Ages
Ages of those in college
Number of others who are dependent on family for major financial support (i.e., more than 50% of their support)
Please write additional comments that will help explain your financial situation to the Youth Orchestra Scholarship Committee below characters remaining
*As a courtesy, students who receive a scholarship may be asked to send a thank you note or possibly perform a short work for the donor/sponsor.
ALL FINANCIAL INFORMATION WILL BE HELD IN STRICTEST CONFIDENCE.
If you have any questions, please call or e-mail Heidi Venaas at the South Dakota Symphony office.
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