Assistance Application
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Parent/Guardian Name:
First
Last
Parent/Guardian Email:
Parent/Guardian Phone Number:
Student Name:
First
Last
level: Student a
School Student Attends:
Blank
Alfred Ely Beach High School
Robert W. Groves High School
Islands High School
Herschel V. Jenkins High School
Sol C. Johnson High School
New Hampstead High School
Savannah Arts Academy
Savannah Early College High School
Windsor Forest High School
Woodville-Tompkins High School
Grade level:
What program is your student currently participating in?
Program Director Name
First
Last
Program Director Phone Number
Program Director Email Address
Were you referred by a school/program?
Yes
No
Name or referring school/program:
Type of assistance requested:
Scholarships for program and band fees
Sponsorships for required attire
Support for instruments and equipment costs
Other
Amount requested (if applicable):
Describe your request for assistance:
Submit Request for Assistance