Minnesota Valley Music 
Teacher's Association

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Grant-In-Aid

Application Form

Date of this Application__________________

Name of Student(s)______________________________________________

Mailing Address_________________________________________________

Parents' Names_________________________________________________

Piano Teacher__________________________________________________

Teacher's Address_______________________________________________

Teacher's Phone __________________________

 

Students' Achievements:  Indicate how many years each student has studied piano and in what auditions, MMTA events, contests, recitals or other musical events the applicant has participated in the past year.

 ______________________________________________________________

 ______________________________________________________________

 ______________________________________________________________

 ______________________________________________________________

 

What is the student's (or family's) basis for need?

 ______________________________________________________________

 ______________________________________________________________

 ______________________________________________________________

 

What is the specific use for this money?  List festivals, auditions, etc.

 ____________________________________Cost of the event $__________

 ____________________________________Cost of the event $__________

 ____________________________________Cost of the event $__________

 

Teacher's Signature____________________________ Date________________

 

If approved, this grant money will be sent to the teacher who will forward it to the student.  Please have completed by May 1st.

Scholarship Committee Chairperson__________________________________

Date____________________________

Committee Use Only:   Amount Awarded $_________

 

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