Tuition Scholarship Form

Durham Children’s Choir Board of Directors Need-Based Financial Assistance Policy

Financial assistance is available on a need-basis to help Durham Children’s Choir (DCC) families cover the costs of their singer’s participation in DCC programs. Financial assistance awards are limited to the funds available each year. Financial assistance applications are reviewed in confidence and need-based awards are granted at the discretion of the DCC’s Board of Directors. Anonymity of the applicant and confidentiality of financial information are maintained throughout the review process and thereafter. DCC’s Director (Mrs. Byers) and the current elected Treasurer of the DCC’s Board of Directors will communicate financial assistance decisions and are the only individuals to know the names of the applicants throughout the process and thereafter.

Singer's Name*
First Last
Date
Date Format: MM slash DD slash YYYY
School
Grade*
Parent/Guardian 1 Name*
First Last
Parent/Guardian 1 Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian 1 Phone*
Parent/Guardian 1 Email*
Enter Email Confirm Email
Parent/Guardian 1 Occupation*
Parent/Guardian 1 Employed by*
Parent/Guardian 2 Name
First Last
Parent/Guardian 2 Address
Street Address Address Line 2 City State ZIP Code
Parent/Guardian 2 Phone
Parent/Guardian 2 Email
Enter Email Confirm Email
Parent/Guardian 2 Occupation
Parent/Guardian 2 Employed by
Singer lives with*
Number of Siblings or Dependents living with Singer*
Please enter a number from 0 to 10.
Did you file Form 1040 for the 2019 financial year*
- Yes
- No
Upload PDF copy of Form 1040
Accepted file types: pdf.
REMEMBER: YOUR APPLICATION CANNOT BE CONSIDERED WITHOUT THE ACCOMPANYING TAX INFORMATION (Form 1040).
2019 Adjusted Gross Income (Line 7 from 1040)*
Please enter a number from 0 to 75000.
If you did not file Form 1040 please enter an estimate of your earnings.
If you did not file a federal tax return, or have other sources of income such as child support, public assistance, etc., please list them here.
Please describe below your reasons for requesting financial assistance.*
Please list your financial obligations (for example, rent, utilities, transportation, monthly payments for loans/credit, school fees, car payments, etc.). We do not need to know to whom you are obliged for payments.*
Please list any special problems such as ill health or unemployment which make it difficult to pay the tuition. Will the situation improve in the future?*
Does Singer qualify for free or reduced lunch?*
- Yes
- No
Amount of Tuition Scholarship Requested*
Please enter a number from 0 to 500.
Consent*
I hereby affirm that the above information is true and correct to the best of my knowledge.
I further acknowledge that any misrepresentation could jeopardize my ability to receive future assistance.

The Durham Children's Choir is supported by generous grants from:

Our organization is supported by the Durham Arts Council's Annual Arts Funds and the N.C. Arts Council, a division of the Department of Natural & Cultural Resources.