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Scholarship Application

Please select the program for which you are applying for a scholarship*PSO Academy (Private Lessons)Youth & Children's ChorusSummer Music Camp

*Please note: Scholarship submissions for Summer Music Camp are no longer being accepted.

Student Name*

Parent/Guardian Name*

Parent/Guardian Phone*Parent/Guardian Email*Student Race/EthnicityHispanic or LatinoWhiteAmerican Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderAnnual Household Income Last Year*Less than $20,000$20,000 - $35,000$35,000 - $50,000$50,000-$65,000$65,000-$80,000More than $80,000

Summer Music Camp or Choir: Please email your income tax return (Form 1040, 1040A or 1040EZ) or a recent paystub to cindy@paducahsymphony.org

Academy: Please email your income tax return (Form 1040, 1040A or 1040EZ) or a recent paystub to grace@paducahsymphony.org

Number of children or dependents in your household*

Non-taxable income you currently receive (check all that apply):

Social security benefitsChild SupportFood Stamps/WICMedicaid/KCHIPUnemployment Compensation

Briefly explain your need for scholarship assistance and any extenuating circumstances.

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Mailing Address

Paducah Symphony Orchestra
401 Walter Jetton Blvd. Building 4
Paducah, KY 42003

Phone

(270) 444-0065

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