Scholarship Application

SSA offers scholarships to students based upon financial need. In order to apply for a scholarship, students or their parent/caretaker must complete a scholarship application and submit it to SSA along with a copy of their most recent tax document (W-2, W-9, or income tax filing), which is required to verify annual income.

Make sure you have read the Tuition policy agreement

Information is to be completed by parent/guardian. Information furnished will be used only for the purpose of determining eligibility for financial assistance scholarship. Scholarship recipients must reapply yearly and must provide their most recent annual income with supporting documentation.

Student's Name

First Name

Last Name

Student's Date of Birth

YYYY

School Student Attends

If you are an adult no longer in school, please list n/a.

Residing School District and County

If you are an adult no longer in school, please list n/a.

Grade

School Type

Parent/Guardian's Name

If student is under 18 years of age, or own name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone Number

Preferred Method of Contact

How would you like to be contacted?

Phone

Add'l Parent/Guardian's Name

First Name

Last Name

Email Address

For Add'l parent/guardian

Phone Number

For Add'l parent/guardian

Total Number in Household

Include student, Parents/guardian, siblings and others residing in the household

Siblings and Others Residing in Student’s Household

Please list Name and Age

Total Household Income

Include income from adults counted in the household

Please describe any other circumstances that may impact your need for tuition assistance

I have read the Tuition Policy Agreement

Yes

I attest that the above information is correct to the best of my knowledge. I understand that Scholarship recipients are required to attend lessons regularly; prepare adequately for each lesson (practice outside SSA); and participate in SSA recitals. Scholarship students failing to attend regularly and/or failing to prepare for lessons may have their scholarship revoked.

Yes

Scholarship Application

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