Click here if you are applying for a Music for Humanity Bill Perry
Scholarship.
These scholarships are reserved for graduating seniors from
Chester Academy in Chester NY or students attending Orange County
Community College in Middletown NY.
Please check which applies to you:
I am a graduating senior from Chester Academy in Chester NY.
I am currently attending (or will attend next semester) Orange County Community College in Middletown NY.
Name: (First, Middle Initial, Last)
E-Mail Address:
Date of Birth: (Month, Day, Year)
, 19
Permanent Mailing Address:
School Address:
Home Telephone Number (include area code):
Daytime Telephone Number (include area code):
Please list your financial need. Include your tuition and cost of course books per semester and the cost of any instrument you are required to buy:
Please list the amount and source of any other financial aid you have received:
What is the genre of music you perform and want to pursue?
List your Musical Talents:
What is your primary instrument?
Who has had the biggest impact on helping you develop your interest in music?
List the Music Education institution or special master classes that this scholarship would be used towards:
Current Class Standing:
Year in School to which Scholarship would apply:
Current Cumulative Grade Point Average:
Activities: List any professional work experiences, extracurricular activities, and/or awards and honors
Postgraduate Plans:
List and attach two letters of reference
(exclusive of relatives and fellow students) who are most familiar with
your abilities and goals and/or experience in the field of music.
Reference #1 - Name, Address & Phone
Reference #2 - Name, Address & Phone
In essay tell us about your musical
background, experience, your musical aspirations and your desire to
continue your education in this field.
Paste your application essay into the text box below:
I have mailed a CD or DVD (up to ten minutes) of my talent and
any other relevent material to the address below.
I have attached a digital file (up to ten minutes) of my talent.
I have listed a web address to access such file(s).
Certification:
I certify that the information provided on this application and all
supplemental forms is complete and correct to the best of my knowledge.
I
further certify that if I am chosen as a scholarship recipient, I will
use
those funds only for expenses related to my education in an institution
in the United States or with a master instructor, and I will provide a
transcript or official notice of acomplishment at the end of the school
year, academic semester or summer music program for which the
scholarship will apply. If approved for a scholarship, you agree to
provide a photograph of yourself for publicity purposes.
We reserve the right to verify any and all information provided in this application.
Applications must be in by July 31, 2008.
Your Initials:
Date: