SMAC-LA/LASI Teacher Training Financial Aid Application FormApplications are due February 10th Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email Address for Notification * Instrument * Teacher Workshop course you intend to take * I am a member of the Suzuki Association of the Americas * Membership in the SAA is required to do Teacher Training. Yes No SAA Membership Number Please note, if you are not an SAA member, you must join before taking teacher training (other than 'Every Child Can!') Current Position/Employer * Do you currently have a teaching studio? * Yes No If 'No', please provide further information Number of years teaching using the Suzuki Method * Are you a full time college student? * Yes No If yes, what is your major area of study? YouTube link to audition piece * Name of audition piece * Composer of audition piece * Letter of Reference Please provide a reference who is willing to fill out an online recommendation. Reference should be a trainer you have previously trained under, a family who has studied with you for at least four years, a teacher you have studied with or a teaching colleague. Your reference will receive an email with a link to the recommendation form. Please be sure to allow enough time for your reference to fill the form in and return it by the application deadline. Name of Reference * First Name Last Name Email Address of Reference * Financial Information * LASI Scholarship Committee will hold all information in confidence. Please provide a written statement below explaining why a scholarship is necessary to attend. Please include any unusual expenses or circumstances you would like taken into consideration. Please scan and email OR postal mail your most recently submitted tax year Form 1040, (Pages 1 & 2 only) OR equivalency translated into US currency figures directly to: lasi@suzukimusiclosangeles.com or mail to: Los Angeles Suzuki Institute 440 N Barranca Ave #6095 Covina, CA 91723 Please provide a written statement below, regarding why you are applying for this scholarship to support your training: Have you received financial assistance from the Los Angeles Suzuki Institute before? * Yes No If yes, if year(s) received Are you requesting financial assistance from any other source? * Yes No If yes, from whom? If yes, amount requested (if specified) Will you be able to attend without financial assistance? * Yes No I'm not sure Thank you!
