M
S
M
P
D
ANHATTAN
CHOOL OF
USIC
RECOLLEGE
IVISION
120 Claremont Avenue
New York, NY 10027
(917) 493-4999 7
APPLICATION FOR FINANCIAL AID
The deadline for submitting this form is May 1, 2012.
Financial aid will not be considered unless this form is completed on both sides
and accompanied by a copy of your 2011 income tax statement and 2011 W2 statements.
Please note: Financial Aid is not available for new incoming students who are in their senior year of high school.
** Please DO NOT staple this form to your Admission Application or Registration Form **
Name of Applicant: __________________________________________________________________
Address:____________________________________________________________________________
__________________________________________________________________________________
Telephone: ___________________________________
Date of Birth: _______________________
School Name: _______________________________________________________________________
Instrument: __________________________________
Grade (in September 2012): ____________
Father’s Name: _______________________________
Occupation: ________________________
Address (if different from above): ________________________________________________________
________________________________________________________
Place of Employment: ___________________________________ Yearly Income: ________________
Mother’s Name: _______________________________
Occupation: ________________________
Address (if different): _________________________________________________________________
________________________________________________________________
Place of Employment: __________________________________ Yearly Income: ________________
DEPENDENTS
NAME
AGE
OCCUPATION
INCOME
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________________________
____________
__________________________
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________________________
____________
__________________________
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________________________
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__________________________
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________________________
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__________________________
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OTHER FINANCIAL RESPONSIBILITES
Rent/Mortgage per month: ________________________________________________________
List outstanding debts: ___________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other considerations: ____________________________________________________________
______________________________________________________________________________