Bursary Application Form - Kamloops Symphony Music School

* Student First Name

* Student Last Name

* Date of Birth

Open the calendar popup.

Parent/Guardian First Name (if applicable)

Parent/Guardian Last Name (if applicable)

* Contact Email

* Contact Phone

* Street Address

City

* Postal Code

* Household Size
Please indicate the total number of people in your household who rely on your family’s income.

* Which term(s) are your applying for?

* Please specify the type of program(s) you wish to participate in

* Which specific program(s) would you like support for?
For example: private 30-minute piano lessons, Intermezzo String Ensemble, or Music for Young Children classes.
If you are unsure of the specific program, please indicate your preferred instrument or subject, along with your current experience level.

Name of preferred instructor (if known)

* Proof of Total Household Income
Please provide proof of income for all adult members of your household (e.g., previous year’s notice of assessment or documentation of government assistance).
Note: Students under 22 must submit parent or guardian financial information. Clear

Explanation of Circumstances
If applicable, use this space to provide further information where proof of income may not reflect current circumstance.

* Student Letter
Please upload a letter from the student on the proposed course of study and their musical objectives
Note: A letter written by their parent or guardian may be submitted for children under 13 years old Clear

* Letter of Support
Please upload a letter from a music teacher, school teacher, or another responsible adult (not a family member) who can speak to the student’s dedication, work habits, and commitment to their studies. Clear

Information

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