YBG – Donor – Pay by Check

All MBA Young Band Director Grant donations must be accompanied by completion of the online donor form.

If donating by check payment, complete and submit the form below.

Upon form submission, a confirmation email will sent to the email address of the person completing the form.

Included in the confirmation email will be an invoice with payment instructions. A copy of the invoice must accompany your payment by check.

MBA Young Band Director Grant | Donation Form (Pay by Check)

MBA Young Band Director Grants will be awarded to current MBA members as recent college graduates or with 1, 2, or 3 years of experience in the field of instrumental wind/percussion music education whose professionalism is of exceptional quality and deserving of merit. The award will cover the pre-registration fee and maximum three nights lodging at the MBA Summer Convention.

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Contact Information
Name of the person completing this form:*
First Last
Primary phone number for the person completing this form:
Email contact for the person completing this form:

Donor Information:
Name of Donor:
First Last
Donor Address:
Street Address Address Line 2 City State ZIP Code

Donor Email:
Primary email for the donor of record.
Enter N/A if the donor does not have email access.
Donor Phone:
Primary phone number for the Donor of record.
Does the donor wish to remain ananymous?
Yes
No
Are there multiple donors for this sponsorship?
Yes
No
If Yes, please provide the names of the other donors associated with this sponsorship:
Recipient Information
Please note:
1) If there are no applicants that meet the provided parameters, the sponsorship will be awarded to a qualifying candidate.
2) Donors may not specify a specific recipient to be awarded their scholarship.
Sponsorship Parameters:
Please provide any parameters that you would like to direct the awarding of your scholarship? (i.e. I would like this scholarship to be awarded to a teacher from a rural or urban school. / I would like this scholarship to be awarded to someone from the (…) MMEA district.)
Payment by Check

If donating by check payment, complete and submit the form below.
Upon form submission, a confirmation email will sent to the email address of the person completing the form.
Included in the confirmation email will be an invoice with payment instructions. A copy of the invoice must accompany your payment by check.
Email
This field is for validation purposes and should be left unchanged.

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