Music Makes Us Stronger Application - Community Foundation for the Alleghenies

Music Makes Us Stronger Fund

The Music Makes Us Stronger Fund was created to help support individuals who have been diagnosed with cancer, with preference given to the following groups, respectively:

1) a student who attends a school within the Conemaugh Township Area School District or an employee of the Conemaugh Township School District
2) a Conemaugh Township resident
3) an alumnus of the Conemaugh Township Area High School music program or a child of a Conemaugh Township Area High School music program alumnus
4) a student involved in a music program in the Pennsylvania Music Educators Association District 6 (Bedford, Blair, Cambria and Somerset counties)

If you have any questions about this opportunity, please contact Victoria Kimmel at vkimmel@cfalleghenies.org or 814-200-9066.

Applicant First Name(Required)

Applicant Last Name(Required)

Applicant Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant Phone Number(Required)

Applicant Email(Required)

Please select the best answer regarding the person you're applying for.(Required)

A student who attends a school within the Conemaugh Township Area School District or an employee of the Conemaugh Township School District

A Conemaugh Township Resident

An alumnus of the Conemaugh Township Area High School music program or a child of a Conemaugh Township Area High School music program alumnus

A student involved in a music program in the Pennsylvania Music Educators Association District 6 (Bedford, Blair, Cambria, and Somerset counties)

Recipient First Name(Required)

Recipient Last Name(Required)

Recipient Address(Required)

Street Address Address Line 2 City State ZIP Code

Recipient Phone Number(Required)

Recipient Email(Required)

Recipient Birthdate(Required)

Recipient Diagnosis(Required)

What type of assistance is needed? Provide as much detail as possible.(Required)

Please list the specific dollar amount requested(Required)

In a few sentences, tell the committee about the recipient and their situation. Provide as much detail as possible.(Required)

Application Certification(Required)

By submitting this application, the undersigned hereby acknowledges the information provided on this application, including attachments, is true and correct to the best of his/her knowledge, and the information may be provided and disclosed to the Community Foundation for the Alleghenies and to any other person(s) authorized by the Foundation to review the information. Verification of what is presented in this application may be obtained from any source. Clicking yes below hereby releases from liability any person(s) submitting information to the Foundation for use in the selection of award recipients. Checking this box will serve as an electronic signature and indicated applicant agrees with the above statement the above statement.

Yes

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