Red Dirt Music Academy | Red Dirt Music Foundation

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Home
Music Lessons
Pricing
About Us
- Contact Us
  - Resources
Start Today

Red Dirt Music Foundation

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Red Dirt Music Foundation Scholarship Application

* indicates required

Email Address *

First Name

Last Name

Address

Address Line 2

City

State/Province/Region

Postal / Zip Code

Country

Phone Number

() - (###) ###-####

Birthday

/ ( mm / dd )

Name of Parent or Gaurdian

Instrument of Interest.

Voice
Piano
Violin/Viola
Guitar/Uke
Banjo/Mandolin
Drums
Music Theatre Camp

I am, or my dependent(s) are, currently receiving

Food Stamps/Supplemental Nutrition Assistance Program (SNAP)
Temporary Assistance for Needy Families (TANF)
National School Lunch Program’s free lunch program (must qualify for free lunch)
Supplemental Security Income (SSI)
Other
None

If Other, please explain.

Other Financial Needs

IEP or 504?

Yes
No

How Does A Scholarship Help Your Student?

Name of Reference

Email of Reference

Phone Number of Reference

Reference's Relationship to Student

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