THE PERIOD TO APPLY FOR INSTRUMENTS
HAS ENDED.

We will be contacting schools that will receive instruments by early May, regarding the type and number of instruments you will receive.

• School/Program Information

• School Name
• School Address
  Street Address City ZIP Code
• School County
• School District
• School Phone
• Principal's Name
• School Email
• School Website Address

• Your Contact Information

• Name
  First Last
• Email
• Your Phone

• Information About Your Music Program

• What is special and valuable about your music program?
• How will extending your music program, by providing instruments to children who are unable to purchase or rent their own, make it better?
• Which instruments and how many of each are you requesting?
• Have you applied to Bringing Music to Life, the Colorado Public Radio Instrument Drive or Mr. Holland’s Opus Foundation in the past?
  • Yes
  • No
• Have you received instruments from us in the past? If so, how many of what, and when?
  Past awards will not have a bearing on or preclude current awards.
• Do you have an established instrumental music program that is at least two years old?
  • Yes
  • No
• How many times a week does each child receive instrumental music instruction?
• Is the music teacher:
  • Full Time
  • Part Time
• How many years has the instrumental music teacher been teaching at the school?
• Are you a Title 1 public school?
  • Yes
  • No
• What percentage of the school's total student population participates in the Free/Reduced Lunch Program?
• What percentage of students participating in the instrumental music program also participate in the National School Lunch Program?
  • 1-20%
  • 21-39%
  • 40-59%
  • 60-79%
  • 80-100%
• Please provide a listing of your school’s instrument inventory.
  Example: "Type: Tuba; Quantity on Hand: 1"
• Of this inventory what percentage is in useable, playable condition?
  • 1-20%
  • 21-39%
  • 40-59%
  • 60-79%
  • 80-100%
• What percentage of students participating in the instrumental music program supply their own instrument rather than borrowing a school/district instrument?
  • 1-20%
  • 21-39%
  • 40-59%
  • 60-79%
  • 80-100%
• How many students are enrolled in instrumental music classes?
• If all the instruments you are requesting are awarded, how many students would directly benefit from those instruments?

• Program Budget Information

• What is the annual budget for your music program EXCLUDING teacher salaries?
• How does the administration currently support the music program?

• How much of your budget is spent on...

• Materials
• Instruments
• Repairs
• Events
• Uniforms
• Performances
• Travel
• Scholarships
• Other (please list costs and descriptions, one per line)
• If awarded, will the instruments be covered by your school’s insurance policy?
  • Yes
  • No
• Will the instruments be stored in a secure, locked area?
  • Yes
  • No

• Lastly...

• How did you hear about us?

• We’d appreciate your input regarding our mission as it applies to your music program: Bringing Music to Life's mission is to provide Colorado children with access to the life-changing experience of making music.

• Are instruments the primary need of your music program? Do you have other unmet needs? What additional outside support would be beneficial to you and your students?
• Would you be interested in volunteering with Bringing Music to Life? If not, do you know someone who might be?

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