Online Application | Life Is Music, Music Is Life

Online Scholarship Application

Thank you for your interest in our scholarship. Please feel out the form below. You will be emailed a copy of your responses/answers.

1CONTACT INFORMATION

2INSTRUCTION FOR

3HOUSEHOLD FINANCIAL INFORMATION

4STUDENT PROFILE

Student's Name*
Age*
Parent's Name*
Parent's Name
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Home Number
Cell Number*
School*
School Music Teacher*
School Music Teacher's Email*
*LIMMIL must receive a recommendation from your school or private music teacher via email to ruthann@limmil.org

Get in Touch. Get Involved.

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217 Woodbury Rd #133
Woodbury, NY
11797

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nevartche@gmail.com

Make a Donation

Financial statement available upon request.

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