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SEATTLE YOUTH SYMPHONY ORCHESTRAS |
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2010-11 FINANCIAL ASSISTANCE
APPLICATION |
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This form must be filled
out completely in order to be considered for a Financial Assistance Award |
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Notification of your
Financial Aid Award will be mailed to you. |
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STUDENT INFORMATION |
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FIRST NAME:
_____________________________________
LAST NAME: ________________________________________ |
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ADDRESS:
_________________________________________
CITY: __________________________
ZIP: _____________ |
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PHONE:
_________________________ EMAIL
Address most often used: __________________________________________ |
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I would like to apply for
Stagecrew or Librarian (circle one) Workstudy Position: _____ Yes _____No |
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Are you listed as a
dependent on your parent's/guardian's Federal Income Tax return? ____Yes
_____No |
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FAMILY INFORMATION |
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Mother's Name:
_______________________________
Father's Name: _____________________________ |
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Marital Status of
Parent(s)/Guardian(s) ___Married ___Single
____Divorced ___Widowed ___Seperated |
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PLEASE LIST ALL
DEPENDENTS YOU CLAIM: |
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NAME |
AGE |
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NAME |
AGE |
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INCOME AND EXPENSES
INFORMATION: |
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Mother/Guardian |
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Father/Guardian |
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Annual Salary |
$ |
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Annual Salary |
$ |
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Other Income |
$ |
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Other Income |
$ |
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Value of Savings |
$ |
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Value of Savings |
$ |
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Value of Investments |
$ |
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Value of Investments |
$ |
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Market Value of Real Estate |
$ |
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Market Value of Real
Estate |
$ |
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Monthly Mortgage/Rent |
$ |
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Monthly Mortgage/Rent |
$ |
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SYSO TUITION INFORMATION
FOR 2010-2011 (circle
your assigned orchestra if known) |
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ORCHESTRA |
FULL YEAR TUITION |
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2-PAYMENT OPTION |
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Symphonette Symphony |
$860 |
or |
$430 Due 10/1/10 &
1/15/2011 |
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Debut Symphony |
$860 |
or |
$430 Due 10/1/10 &
1/15/2011 |
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Junior Symphony |
$994 |
or |
$497 Due 10/1/10 &
1/15/2011 |
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Youth Symphony |
$1,194 |
or |
$597 Due 10/1/10 &
1/15/2011 |
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Amount to be contributed by applicant
___________________________(annually) |
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Amount requested from the Financial Aid Committe
___________________________(annually) |
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STATEMENT OF FINANCIAL
NEED: |
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Please describe
extraordinary family expenses or other financial considersations the
committee should be aware of in determining your award. |
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Funds for financial
assistance are limited. Therefore, it
is important that parents explain financial needs in detail. Use the back of this form if needed. |
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I understand that the
information on this application for Financial Assistance is true to the best
of my knowledge. |
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Signature of Applicant:
_________________________________Date: ___________________________ |
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Signature of
Parent/Guardian: ________________________________Date:
_________________________ |
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Application
due in the SYSO office by September 18, 2010 |
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11065 5th Ave NE Suite A,
Seattle, WA 98125 |
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