Apply — Matt's Music Memorial

Student Information

First name (Required) Last name (Required) Date of birth (Required)

Gender (Required) Grade (Required) Phone (If Applicable)

Email (If Applicable)

Student Address (At Least 1 Required)

Parent/Guardian (At Least 1 Required)

Student Essay Attachments

Essay Requirement *

Students must submit an essay or written statement of at least 100 words as part of their application. This essay should reflect the student's interest in music and their commitment to the program.

The essay should address:

Why did you pick your instrument?
Why do you want to study instrumental music?
How has music influenced your life?

Please attach any essays or written statements required for the application.
Accepted file formats include PDF, Word documents, text files, and common image formats.

Attach files (PDF, images, documents)

School Information

District School (Required) First Instrument Type Choice (Required) Second Instrument Type Choice (Optional) Date Band Director requested Instruments by

2026

Note: First-year students: This is NOT usually the first day of school. Please refer to the information received from your school. Returning Students: This is typically the first day of school. Delivery by this date is not guaranteed, but this helps us manage inventory wisely. Actual delivery of instruments is dependent on when and how many applications are received.

Other Notes / Additional information

Demographic Information

Grant information: This information helps us with applying for grants to fund this program, we would appreciate it if you answer the question below. Please note, this is only for grant writing purposes and no answer disqualifies your application.

Financial Statistics

Does anyone in your household receive:

Participation Statistics

If this program did not exist, would this student still be able to participate in Band?

Terms and Conditions *

I have read and agree that by submitting this application, we (Student and Parent) hereby acknowledge that we are responsible for day-to-day maintenance of any instrument issued to our family. We pledge to repair or replace any instrument that has damage which resulted from negligence. We agree to keep Matt’s Music Memorial informed of any changes to the above contact information and notify them of any issues or concerns regarding the instrument in our possession. When the above-named student is no longer active in an approved band program, we agree to promptly return the instrument to Matt’s Music Memorial.

I Agree