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amplify music project

Scholarship Request

Student's name and age

Parent/guardian name

Email

Phone

Help us understand your family and financial circumstances, please check all that apply:

My child attends a Title 1 school

Our family is a single-income household

I am a single parent

I or my co-parent have experienced a loss of income within the last 12 months

Other

What else should we know about your circumstances? (required if marked "other")

What can your family reasonably afford?

Thanks for applying!
We’ll get back to you soon.

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