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 21st for Fall '12 Semester or January 15th for Spring '13 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.