2016 /

Melrose Bandaiders, Inc.

Tuition Assistance for Private Music Lessons or Music Camp

For Melrose High School Band Members

Each year the Melrose Bandaiders establishes a budget for the partial reimbursement of tuition for private music lessons OR summer music camp. The purpose of this program is to improve the individual skill level of Melrose High School band members. Lessons and/or camp must have occurred between June 22, 2015 (the last day of school last year) and May 31, 2016.

Students may apply for one of the following:

  1. Private Lessons Assistance
  1. Private instructor will be determined by the student’s family, and approved by the MHS band director.
  2. Students in grades 8-11 who are presently members of the Melrose High School Band are eligible for this tuition assistance.
  3. Bandaiders will pay up to 50% of the cost of lessons upon receipt of a bill from the instructor.
  4. Maximum reimbursement is $200 per academic year.
  1. Music Camp Assistance
  1. Camp will be determined by the student’s family, and approved by the MHS band director.
  2. Participation is limited to students in grades 9-11.
  3. Maximum reimbursement is $200 per academic year.

Important Note: The Bandaiders’ budget for Tuition Assistance will be divided among the qualified students requesting assistance. For that reason, the total reimbursement amount per student may change from year to year.

Please complete p. 2 and 3 of this packet and submit it to the MHS Band Director by June 3, 2016. Payments will be made on or before June 30, 2016. Applications MUST be received by the Band Director on or before June 3, 2016. Please keep this page for your records.

Melrose Bandaiders, Inc.

Tuition Assistance for Private Music Lessons or Music Camp

Application

This application should be completed by the student, and signed by a parent.

Student Name______Grade______

Address ______Phone______

I am request tuition assistance for [check one]:_____ private music lessons

_____ summer music camp

  1. Complete part 1 for private music lessons.
  1. On what instrument did you take lessons?______
  2. Name of private instructor or studio:______
  3. What is the total amount of receipts attached?______

(note: the maximum amount of reimbursement possible will be 50% of this total, up to $200)

  1. Complete part 2 for music camp.
  1. Name of camp______
  2. Location of camp______
  3. Dates of camp______
  4. Cost of camp______

(note: the maximum amount of reimbursement possible will be $200)

  1. All applicants complete part 3.
  1. How many years have you been in:Concert band?______

Marching band?______

Jazz band?______

  1. Next school year I plan to participate in (check all that apply):Concert band_____

Marching band_____

Jazz band_____

  1. All applicants complete part 4.

Briefly describe how this Tuition Assistance would benefit you personally, as well as benefit the Melrose band program:

______

Submit this application to the MHS Band Director on or before June 3,2016.

Student signature______

Parent signature______

To be completed by the Band Director only.

Date received ______

Check one:

Approved ______

Not approved______

Band director signature ______

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