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The Lance Tilton Foundation provides funding for continued musical education and instruments to students 12 years old – 16 year old whose parents or guardians cannot afford, due to hardship, to pay for continued music education. Children selected by the Foundation for the program must have had music instruction in the past and show a high level of interest in pursuing music.

To apply to the Lance Tilton Foundation, fill out our online application below. We also require 3 written references from non-family members, including contact information. Please email your references to: ginger@LanceTiltonFoundation.com.  Upon review of your application and references, we may contact you for an audition.  We look forward to hearing from you!

Student's Name

Gender

Male

Female

Home phone

Student's email

Student's home address

Student's current age

Student's date of birth

What grade is your student in now?

Student resides with

Both Parents

Mother

Father

Grandparent

Foster Parent

Other

Which instrument does student play?

How long has student studied this/these instrument(s)?

Enter name/location of student's music teacher

Describe any group-playing experience the student has had

Do you currently have an instrument to play/practice on?

Yes

No

Does the student currently qualify for the Federal Free Lunch Program?

Yes

No

Guardian's full name

Guardian's phone number

Guardian's email

Guardian's occupation(s)

Guardian's annual income last year

Guardian's projected annual income

Is the student a US citizen or permanent resident?

Yes

No

I understand student must speak English to participate in this program

Yes

No

I acknowledge that student must audition for this program

Yes

No

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