Martina Arroyo Foundation, Inc.

Date: _____________________

To: The Martina Arroyo Foundation, Inc.

            In order to participate in the summer program, Prelude to Performance 2007,

 I, __________________________    request financial aid in the amount of $____________ .

1.)        I enclose page 1 of my most recent IRS 1040 filing which shows my net income for the last fiscal year.

OR

2.)        I did not file a 1040 form because I did not earn any taxable income or I received financial aid from other sources in the amount $___________ which was exempt from IRS filing.

Signature                                                                                          Please Print Name

Social Security Number

PO Box 2015 Radio City Station, New York, NY 10101-2015   Tel: (212) 397 7256 Fax: (212) 397 7257
Cell: 347-677-3854   Email:prelude05@martinaarroyofoundation.org