Music Merit Scholarship Request
Filling out this form requires that you have received confirmation of Financial Aid through the Copley-Price YMCA. This Scholarship is offered by the City Heights Music School (CHMS), a program of the Youth Philharmonic Orchestra, to supplement the YMCA Financial Aid award.
Questions? Contact Victoria Eicher, CHMS Director, at (858) 442-0237 or email@example.com.
Name of Student (if you are a Parent, please enter your name here and list additional student names in 'General Comments')
Check All That Apply
I am a current CHMS student.
I am a past CHMS student.
The school that I attend does not have a weekly music program.
More than one member of my family would like to take music classes at the YMCA.
I am available to help with setup for music classes and/or concerts.
I am committed to practicing music every day.
How long have you studied music?
Brand new, no experience
More than 2 years
Financial Aid Status - Check All That Apply
I am a member of the YMCA.
I am not a member of the YMCA.
My payment per class, with YMCA financial aid, is $15-$20.
My payment per class, with YMCA financial aid, is $21-$26.
My payment per class, with YMCA financial aid, is more than $27.
What class(es) are you registering for? Please include day and time.
General comments (please list additional family members, if applicable)
Do Not Fill This Out