Pre-Qualification Form

Please review the application guidelines carefully to determine if your music program is eligible for a grant. Then you may complete this form, answering all questions thoroughly. You will be notified within three weeks if you may submit a full application.

Each space must be filled in.

  • All phone numbers must include an area code.
  • If your school/program does not have an e-mail address, please provide the e-mail address of the person responsible for this application.
  • If your school/program has no website, please provide the website address for your school district or parent organization.
  • Please be sure to answer each question even though some are preselected.

Pre-Qualification Form

Type of grant being requested:
For information on grant types click here.

School/Program Information

Name of School/Program:
School/Program Address:
City: State: Zip:
County:
School District/Parent Organization:
Phone: Ext: Fax:
School/Program E-mail: Website Address:

Your Information

First Name: Last Name:
E-mail Address:
Contact Number:
Relationship to the Music Program:
(Music teacher, principal, parent, etc.)

Information About Your Music Program

Please be sure to answer each question even though some are preselected.

Do you have an established instrumental music program that is at least three years old?
(General classroom music and Orff style programs do not qualify as instrumental.)

Is your music teacher?:
Are you a Title 1 public school?
What percentage of the student body qualifies for the Federal free/reduced lunch program?
Do you have an inventory of instruments?
If awarded, what need would the donated instruments fulfill?
Music Program Budget
What is the annual budget for your music program EXCLUDING teacher salaries?
   
How much of your budget is spent on the following?  
   Materials
   Instruments
   Repairs
   Events
   Uniforms
   Performances
   Travel
   Scholarships
   Other
If other, please explain:  
 
Have you applied to the foundation before?
How did you hear about the foundation?
Please provide specifics, if possible: