Oberlin Conservatory of Music - Community Music School

Oberlin is committed to helping children and families who need assistance to participate in these programs through tuition reduction. Scholarships will be determined based on family financial resources and number of dependent children.

Please complete this application to see if you qualify for a scholarship to the Community Music School. The information you provide will be kept confidential and only will be used to make appropriate scholarship decisions.

Items marked with an * are required. In addition, complete the section(s) for the parent(s) or guardian with whom the child lives.

	*If the scholarship was granted, which program(s) would you enroll for? To select multiple programs, hold down control and click (PC) or open apple and click (Mac).

	*Child's Name
	*Street Address
	*City
	*State
	*Zip

	*Daytime Phone
	*Evening Phone

	Father/Guardian
	Name
	Occupation
	Title
	Employer

	Mother/Guardian
	Name
	Occupation
	Title
	Employer

	*Parents' Marital Status

	Annual Income
	Father
	Mother

	*Monthly Expenses (housing, utilities, etc.)

	*List the names and ages of other dependents in your household.

	*By checking this box you certify that all information listed above is complete and correct.
	*Today's date