Cumberland Valley School
of Music • 1015 Philadelphia Avenue, Chambersburg, PA 17201
• (717) 261-1220
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07/09 CUMBERLAND VALLEY SCHOOL OF MUSIC STUDENT AID APPLICATION Please complete all information requested on this application and return to the above address no later than August 24th for Fall '09 Semester or January 15th for Spring '10 Semester. Application is not complete without a copy of your most recent federal tax return. If not required by law to file a federal tax return, please provide official documentation of income. Any supporting materials cannot be returned, so please send only photo copies. __________________________________________________________________________________ __________________________________________________________________________________
What grade will you enter next fall?__________ At what school?_________________________________ What is the principal area of study for which you are seeking financial assistance? _________________________________________________________________(voice, piano, trumpet, etc.) How long have you studied the above instrument(s)? __________________________ How long have you studied the above instrument at CVSM?_______________________ With whom do you study at CVSM?__________________________________ How long a lesson do you take? ______30min._______45 min.__________60 min. How long a lesson do you plan to take next semester?___30 min.___45 min.____60 min. ________________________________________________________________________
Please attach to this form a complete copy of your most recent federal tax return.
___________________________________ ____________________________________ __________________________________ ___________________________________ __________________________________ ____________________________________ COMBINED ANNUAL INCOME $___________________________ Do you receive child support or spousal support payments? ______ If yes, monthly amount $________________________ ASSETS: Cash and Securities $_________ Home_________ Own________ Rent___________ Monthly Mortgage/Rent $____________ Home market value $_________________ On the back of this form, please include any additional information or extenuating circumstances which may assist us in evaluating your financial situation CVSM does not discriminate on the basis of race, color, nationality, sex, ethnic origin, or religious beliefs in its admissions, financial aid, scholarship and other educational policies. |
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