Pre-Qualification Form

School/Program Information
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Your Information
Prefix:
Music teacher, principal, etc.

 

Information About Your Music Program
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.)

Does your school have a dedicated classroom for instrumental music classes? Please note that cafeterias and auditoriums do not qualify as a dedicated classroom.

Is your music teacher:

How many years has the instrumental music teacher been teaching at the applying school?
Are you a Title 1 public school?

What percentage of the school's total student population participates in the Free/Reduced Lunch Program?
What percentage of students participating in the instrumental music program also participate in the National School Lunch Program?

 

Do you have an inventory of instruments?

What percentage of students participating in the instrumental music program supply their own instrument rather than borrowing a school/district instrument?
If awarded, how many students would directly benefit from the donated instruments?

 


 

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

 

Basic Information
Have you applied to the foundation before?

 


Was your school recently impacted by a natural disaster?

 

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