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SCHOLARSHIP APPLICATION

Name: _________________________________________________________

Address: ________________________________________________________

________________________________________________________

Phone:__________________________________________________________

E-mail:__________________________________________________________

School:__________________________________________________________

Accredited College/University/Technical School you wish to attend:

Have you been accepted? YES NO (If yes, attach copy of acceptance letter)

Other scholarships received or for which you have applied:_________________

Note: Completed application form and a copy of your high school transcript must be submitted to your music teacher or guidance counselor not later than February 26, 2010. The Sea Notes Scholarship committee will consider applications and interview finalists. The scholarship winner will be announced in April, 2010.

Supplemental Information (use additional paper if necessary)

Awards/Achievements: _______________________________________________

___________________________________________________________________

Extracurricular Activities: ______________________________________________

___________________________________________________________________

Community/Church Involvement: _______________________________________

___________________________________________________________________

Employment Information (include summer internships):_____________________

___________________________________________________________________

Other information which may assist the committee in its decision: _____________

___________________________________________________________________

Release Statement

I hereby release the preceding information to the Sea Notes Scholarship Committee. I certify that the above information is correct to the best of my knowledge, and I understand that this information will be kept strictly confidential, for sole use in conjunction with the application process for this scholarship.

Signature (applicant)

__________________________________________

Signature (parent/legal guardian)

__________________________________________

Music Background/Education (use additional paper if necessary)

1) Who/what influenced your decision to study music up to the present time?

2) How many years have you studied music? (Include study outside of the school curriculum and indicate vocal or instrumental; list instruments studied if applicable.

3) List all music classes taken by you during high school, including music theory, music history, as well as band, chorus and other performance-related classes.

4) List any honors/recognition achieved in music. Include Director's awards, All-County participation, solo and group festival participation, etc.

5) In your opinion has the study or performance of music helped you achieve well in other academic areas? If yes, please explain.

6) Do you believe that the study or performance of music has helped to promote good relationships with your peers? If yes, please explain.