Music Scholarship Application

Name
 
Address
 
City, State, Zip
 
Country
 
Phone
 
E-mail
 
Instrument or Voice Part
 
Year of H.S. Graduation
  (Only current HS seniors eligible)
Honors, Awards, Contest ratings
(please list year for each)
 
High School Director's Name
 
High School Name
 
High School Address
 
High School Phone Number
 
Private Lessons
(number of years, teacher's names)
 
Proposed College Major (if decided)
   
Current GPA
   
ACT Score
   
   
On which date will you audition?
 

Other:

Names of Pieces to be played/sung (include composer's names)
 
Accompanist needed?
  Yes No
(Must provide music 3 weeks in advance.)