School Music Application

SCHOOL MUSIC GRANT APPLICATION

Date

MM/DD/YYYY

Name of School

Name of Teacher

Phone

type Name (check

School Address

City / State / Zip

Website Address

Type of service requested (check all that apply)

Printed music for instruction
Recorded music for instruction
Musical Accompanist
Uniforms
Travel Expenses to a performance venue for a band, orchestra, choral group or a member thereof

Total cost not to exceed $500.00

If multiple services requested above, please itemize with a total.

Please use the space below for any additional information that may be helpful to the Committee in reviewing this application. e.g., the level of instruction or instrument type

I certify that the information on this application is true and correct to the best of my knowledge.

Signature of Teacher

First

Last

About N.D.G.W.

Information

Governance Policies

School Music Application