School of Music Application

* = required

Program Request

Household Information

Household Members (please include all working and non-working family/household members including children. Please include Name, Relationship, Age, and Name of Employer/School)

Income

Expenses

Financial Assistance Request

Demographic Information

We are collecting certain demographic information to better understand and serve our 92NY community. Providing the following information about yourself and/or your family is optional but helpful to us as we try to reach the entire 92NY community. The demographic information you may provide and whether you choose to disclose it has no bearing on our determination as to whether you qualify for financial assistance. By providing us this information, you consent to 92NY using and sharing such information, however, such information will be in the form of aggregated data and will not describe or identify any individual. Thank you.

By clicking submit you certify that the information provided in this application is true and accurate.