Music Scholarship/Participant Grant Application Form

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Music Scholarship/Participant Grant Application Form

Printable version of this form (pdf)

*Required Information

Scholarship Aid Application for:*

Date:*

Personal Information:

Full Name:* Age:*

Home Address:*

City:* State:* Zip:*

Phone:* (123) 456-7890

Social Security No.*

Email Address:*

Date of Birth:*

Married Single

Parents' Name:*

Parents' Address:*

Your present student classification:*

Name and address of high school or college currently attending:*

Major Instrument or voice classification:* (Check only the performance areas in which you are applying for scholarship)

VOICE:	Soprano Alto Tenor Baritone Bass
KEYBOARD:	Piano Organ
STRING:	Violin Viola Cello Bass Guitar
BRASS: (List)
PERCUSSION: (List)
WOODWIND: (List)
List other instrumental or vocal training and performance experience other than marked above:

Name, address and phone number of music instructors:

High School Music Teacher Info	Name:	(123) 456-7890
	Address:
	Phone:
Private Music Teacher Info	Name:	(123) 456-7890
	Address:
	Phone:

Performance Experience: (Please list briefly below)
Ensemble Solo Small Chamber

Academic and musical honors received: (Please list and include festival ratings)

What are your personal aims in education? What profession would you like to enter after graduation?

Please list the following:

ACT Standard Composite Score*		Rank in Graduating Class*
Size of High School Graduating Class*		GPA*