THE GIFFORD FLORDIA YOUTH ORCHESTRA

Student Name *

First Name

Last Name

The Gifford Confidential Application for Financial Aid consists of five components:

Financial Information Form
Completed Enrollment Agreement
Student currently enrolled and taking lessons
Proof of student participation in the free and/or reduced meal program through the public school system
Or copy of your most recent 1040 tax form

It is the responsibility of the applicant or applicant’s parent/guardian to see that all items are completed and returned to GYO for staff review. Only complete applications are considered. All financial information is kept strictly confidential.

Financial aid awards are deducted from the total tuition charges; no money changes hands between GYO and aid recipients. Awards are granted for the entire school year when possible and based on registration for the full program length or remainder of the academic year.

Parents will be notified in writing within two-three weeks of the application date reviewed regarding their award status either for full or partial scholarship.

Withdrawal from any program during the semester for any reason except for special circumstances approved by The Gifford Youth Orchestra Executive Director will result in revocation of the financial aid award.

The acceptance of financial assistance from GYO carries with it an obligation on the part of the student and parent to attend groups or sessions on a regular basis and work diligently on making progress in his/her principal area of study. Parents must also volunteer for one GYO event per child awarded financial assistance during the year. GYO reserves the right to revoke the aid award to any student whose work or behavior is deemed unsatisfactory.

Award of financial aid does not guarantee assistance in the future. Financial aid applications must be completed each year. A parent or guardian of each financial aid recipient will be required to sign a letter of agreement accepting the financial aid and to return it within two weeks or notification of the award.

Contact Information

Parent Name *

First Name

Last Name

Email

Verify Email

Cell Phone *

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Please provide answers to the following:

#1 What is your total household adjusted gross income? *

(Form 1040, 1040A or 1040EZ - copy of tax return or other proof of income is required)

Tax Return or other Proof of Income *

Non-taxable income—Please check all categories that apply to you: *

Social Security Benefits

Family Gift or Support

Child Support

Welfare

Unemployment Compensation

Interest on Tax-Free Bonds

Untaxed Portions of Pensions

Housing Allowance

None

#2 Non-Taxable income *

Total Income from #1 and #2 *

Other: Please list any other extenuating circumstances that qualify your need for financial aid.

(medical expenses, other therapies, etc.): (please attach additional documentation if applicable)

File Upload

Required Question

How much can you contribute towards the tuition? *

Tuition is $40 a month for first child, $30 a month for second child, $20 a month for third child and $10 a month for fourth plus children.

How often can you contribute towards tuition? *

Parent Name: (Used as Signature) *

First Name

Last Name

Today's Date *

(mm/dd/yyyy)

Relationship to Student *

(Parent or Guardian)

Financial Aid Form

Contact Information