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Need Based Scholarship Application
  1. Prizm Ensemble offers financial assistance for students to attend our yearly Music Festival in June. Because these funds are limited, we ask that you apply if these funds are truly needed. This scholarship is intended to assist families who demonstrate a financial need, and we encourage those who fall into this category to apply.

    Scholarship decisions will be based primarily upon financial need, with some consideration also given to past and current participation in the community, and future leadership potential.

    Please be assured that all information provided herein will be kept in the strictest confidence by the board of PRIZM.

    Complete this online application, filling it out as accurately as you can. To complete the form, you must upload a copy (pdf, jpg, gif or png file, maximum size 1 MB) of the parents/guardians' most recent 1040 Tax Form (forms will be shredded), or send a copy to:

    PRIZM Ensemble
    P.O. Box 171361
    Memphis, TN 38187-1361

  2. Basic Information

  3. Required Fields Marked
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  4. Student's Name(*)
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  5. Date of Birth(*)
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  6. Grade(*)
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  7. Street Address(*)
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  8. City(*)
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  9. State(*)
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  10. ZIP(*)
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  11. Telephone(*)
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  12. Email Address
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  13. Cellphone
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  14. Parents/Guardians' Name(*)
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  15. Financial Information

  16. Father's Name
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  17. Father's Occupation
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  18. Approximate Annual Income(*)
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  19. Mother's Name
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  20. Mother's Occupation
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  21. Approximate Annual Income(*)
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  22. Does Applicant work?(*)
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  23. If So, Applicant Income
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  24. Number of Dependent Children in the Household(*)
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  25. Number of Children Attending College(*)
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  26. Please explain any additional factors which you feel PRIZM should be aware in order to help us make a decision regarding your request (i.e any temporary financial difficulties, family expenses, major illnesses, etc.).
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  28. How much is your family able to contribute towards the tuition?
  29. (*)
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  30. Upload a scan of your most recent IRS 1040 form
    File must be a png, jpg, gif or pdf, maximum size is 512KB.