YOUNG ARTIST SUMMER PROGRAM 2018 FINANCIAL ASSISTANCE APPLICATION

To apply for need-based financial assistance, upload this form, along with required income documentation, to
section 4 (Scholarship) of the online application.

APPLICANT INFORMATION

1. Name: ________________________________________________________________________

2. Permanent Home Address:

______________________________________________________________________________

______________________________________________________________________________

3. Instrument/Division (ex: violin OR conducting OR composition): __________________________

4. School Name, and specify whether it is a high school or college:

______________________________________________________________________________

5. Desired housing arrangement during the program:

Lenfest Hall Commute daily from home

OTHER FINANCIAL ASSISTANCE:

6. Please describe any other financial assistance you have fundraised, have applied to, or have received or
plan to receive for summer 2018 (awards, grants, scholarships, etc.)

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

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INDEPENDENT APPLICANTS:
(The majority of YASP applicants are financially dependent upon parent or guardians, and should skip this
section and move on to the next page. If applicant is financially independent, complete this section.)

*U.S. citizens: Complete questions 7–16 in this section, and upload:

• Your 2016 tax return
• Your 2017 W2 form
*International applicants: Complete questions 7–16 in this section and enter all values below
converted to U.S. dollars, and upload:
• A copy of your most recent bank statement, in English or with translation provided
• A letter, in English or with translation provided, from your employer stating total wages
earned from January 2016–December 2016.

7. Place of employment: _____________________________________________________________

8. Position: _______________________________________________________________________

9. Total yearly income as described in attached tax forms: $ __________________________________

Income and Assets:

10. Total cash: $ _____________________________________________________________

11. Total checkings: $ _________________________________________________________

12. Total savings: $ ___________________________________________________________

13. Net value of home and all other properties: $ ____________________________________

14. Net value of business: $ _____________________________________________________

15. Investments (stocks, bonds, certificates, mutual funds and other investments):
$ ______________________________________________________________________

16. Total value of income and assets from questions 10-15: $ ___________________________

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IF APPLICANT IS A FINANCIAL DEPENDENT:
All those who list the applicant as a dependent on their taxes should complete the following section.

*U.S. citizens: Complete numbers 17–35 in this section, and upload:

• All parent/guardian 2016 tax returns
• All parent/guardian 2017 W2 forms

*International applicants: Complete numbers 17–35 in this section and enter all values below converted to
U.S. dollars, and upload:
• Copies of all parent/guardians’ most recent bank statements, in English or with translation
provided
• Letters, in English or with translation provided, from all parent/guardian employers stating total
wages earned from January 2016–December 2016.

Parent/Guardian 1 Information:

17. Name: ________________________________________________________________________

18. Relationship to applicant: __________________________________________________________

19. Place of employment: _____________________________________________________________

20. Job title: _______________________________________________________________________

21. Total yearly income as described in attached documentation: $ _____________________________

Parent/Guardian 2 Information:

22. Name: ________________________________________________________________________

23. Relationship to applicant: __________________________________________________________

24. Place of employment: _____________________________________________________________

25. Job title: _______________________________________________________________________

26. Total yearly income as described in attached documentation: $ _____________________________

Combined Income and Assets of All Guardians:

27. Total cash: $ _____________________________________________________________

28. Total checkings: $ _________________________________________________________

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 29. Total savings: $ ___________________________________________________________

30. Net value of home and all other properties: $ ____________________________________

31. Net value of business: $ _____________________________________________________

32. Investments (stocks, bonds, certificates, mutual funds and other investments):
$ ______________________________________________________________________

33. Total value of income and assets from questions 27-32: $ ___________________________

34. Besides the applicant, how many children do the parents/guardians support: ______________

35. Including the applicant, how many of the parents’/guardians’ children are currently enrolled in
college?
______________

I certify that the information disclosed on this form is correct and complete.

Parent’s or Guardian’s Signature (if applicant is a dependent) Date

Applicant’s Signature Date

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