Student Application Form

Student Application Form: If you are student that has played for a while and need an instrument of your own or if you are a student that wants to play an instrument please fill out the form below and submit it to us.

*Before filling out this form the Rheuben Allen Education Foundation primarily provides band instruments to children. The reason for this is I (Rheuben Allen) am the manufacturer of several lines of band instruments so they are the instruments I know best.  I am very limited in other musical instruments so if you are looking for string instruments or keyboards I might not be able to help.
*Please review this list of instruments before filling out the form.  If possible I will try to get the instrument you request if not band instruments but cannot guarantee I can get the instrument you want.

Email Address:
How old are you?
If you do not already play an instrument, what instrument would you like to play?
If you play an instrument, what instrument do you play and how long have you played the instrument?
Are you in a school music program or band?
Why do you like playing this instrument?
Do you own your own instrument. If yes describe the condition of the instrument
If you do not own your own instrument tell us why you would like to have your own instrument.
Full Name and address of parent or guarding and relationship.
Parent or Guardian’s yearly income?
How did you hear about the Rheuben Allen Education Foundation?