Instrument Application

Thank you for your interest in Band of Angels. This program is designed to help students in financial need obtain instruments for use in school music programs. Band of Angels works with school administrators, and music directors to help identify students in need of a musical instrument. Band of Angels is sponsored by Fox 4 TV and Meyer Music.

The form below helps provide information needed to establish financial need. We will contact your school music director and administrators to verify that the information provided below is accurate. While these questions help us determine need, we reserve the right to approve or decline any application based on other circumstances.

Please accompany your application with a short background description and story (100 words or more) why you need an instrument. Fox 4 may use these stories to update viewers on who is receiving instruments from the program. These updates will hopefully spur others to continue to donate instruments and funds thus helping more students. By accepting an instrument from Band of Angels, you are granting permission to use your story if needed in a newscast on Fox 4 TV.

The following guidelines apply to this program:

• Band of Angels retains ownership of the instruments while they are being used. These instruments are loaned to the student free of charge for as long as they continue to play.

• If a student decides to discontinue, the instrument must be returned to any Meyer Music location or by contacting the school music director to arrange pick it up at the school if possible. For our location information, please visit our contact page.

• Recipients of donated instruments will be responsible to pay for any repairs or adjustments needed.

• Due to the limited number of instruments donated, there is no guarantee that an instrument will be available.

You may download a version of this form and send us the application by any of the following methods:

• Email: angels@meyermusic.com
• Mail To: Attn: Band of Angels, 11890 West 135th St. Overland Park KS 66221
• Fax: 913-491-6691

Please feel free to contact us with further questions via our contact page.

Thanks,
Board of Directors – Band of Angels
A 501c3 Not For Profit Organization

OR fill out and submit an online application below:

Student Information

I am enrolled to begin in a music program next yearI am currently enrolled in a school music program

Parent/Guardian Information

Instrument Donation

If your child is in need of an Orchestra Instrument (Violin, Viola, Cello, or Bass), please include the instrument size your child needs. Your child's music director will know this information. Applications that do not include orchestra instrument size will take longer to process.

Band/Orchestra Director Information

Establishing Financial Need

Information about your child’s eligibility for free child nutrition program may be used to determine financial need. We must have your express permission to contact the proper administration to determine eligibility. Please check box and sign below.

Please provide additional information to establish a financial need for a Band of Angels donated instrument or monetary aid to
be used for music camp or lessons.

Food StampsTemporary Government Assistance ProgramsSection 8 HousingWIC

Additional Comments or Programs

YES, I DO give permission for Band of Angels donation recipient committee to contact the proper entities to determine the status of my child’s eligibility for free child nutrition programs thus helping to establish financial need of the recipient. I also give permission for my child's story to potentially be featured on Fox 4 and on Band of Angels website and social media.

Background (Student)

Please have your child provide us with a short background (100 words or more) of your situation and why you would like to receive a Band of Angels instrument. (Required)

Background (Parent/Guardian)

Please provide us with a short background (100 words or more) of your situation and why you would like your child to receive a Band of Angels instrument. (Required)

Attached Files

If there are any additional files, photos or documents you would like to attach to your application, you may attach them here. Please keep the file size under 8 MB.