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.)