Scholarship Application
Date_____________
Name__________________________________________________Age__________
Parents______________________________________________________________
Home Address________________________________________________________
City_____________________________Zip________County__________________
Telephone____________________________________________________________
High School___________________________________________________________
Grade________________ Voice Classification_______________________________
Musical Background
Voice: List participation in high school performing groups, shows, competitions
(use separate sheet if necessary)
Instrumental: List participation in bands, orchestras, etc.
Instrument(s)
Honors, NYSSMA ratings, etc.
Community musical activities:
Future plans in the field of music, if any
Other high school organizations and activities, academic honors, sports teams, etc.
Community activities, hobbies
List names, titles, and telephone numbers of the three adults who will attest to your musical ability, scholarship and commitment. These should include a music teacher, at least one other faculty member, and another individual such as an employer or a clergyman. Enclose letters of reference with this application.
1._______________________________________________________
2._______________________________________________________
3._______________________________________________________
(This form may be duplicated.)
Send this application with the following:
three letters of reference, one being a vocal music teacher,
a cassette tape or CD on which you sing TWO selections including one classical piece and one lighter piece,
to the scholarship chairman
Gay O'Brien
The deadline for
receiving applications is
Note these important stipulations:
The student must be willing and able to perform at our classics concert on weekend of March 13, 2010.
Any student who won the scholarship when a junior is ineligible to reapply. Non-winners may apply again.
The student
must reside in one of these counties: