$400 WADDINGHAM Memorial Scholarship Fund 2023

$400 WADDINGHAM Memorial Scholarship Fund

2023 APPLICATION FORM
MUSICIANS ASSOCIATION

PO Box 88 Mandan, ND 58554
DEADLINE: APRIL 25, 2023

No Applications will be accepted after this date.
To qualify for funding you must attend a school in one of the following counties: Burleigh, Emmons, Grant, Kidder, Logan, Mclean, Morton, and Oliver.
PLEASE COMPLETE ONLINE.
1. First Name of Student
2. Last Name of Student
3. Address of Student*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
4. Phone Number of Student*
Please enter a valid phone number.
5. Email of Student*
example@example.com
6. School*
7. Music Instructor*
8. County*
6th or 7th8th or 9th10th or 11th
10. List instrument(s) and/or voice with which you perform.*
11. Number of years in band, orchestra, or choir.*
YesNo
13. How many years of private lessons?
14. Private lesson instructor name and phone number.
15. Musical activity or event for which you want to use these funds. (I.E. Peace Gardens Music Camp)*
16. Address of Activity*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
17. Activity Contact Phone Number *
Please enter a valid phone number.
18. Starting Date of Activity*

MonthDayYear
19. Cost of Activity*
20. How would this activity you plan to attend be beneficial?*
21. List any performance awards you have received in the area of music.
22. List any previous music camps/musical training you have attended outside your school setting.
23. How have you used your musical abilities in your community?
24. What are your future plans in the area of music beyond high school or college?
25. VERY IMPORTANT... Contact your instructor and ask if they would complete an online recommendation for you. Enter your instructor's Name and Email in the boxes below.
26. Instructor's Name*
27. Instructor's Email*
Remember, Applications must be submitted no later than April 25, 2023. Applicant Signature*

Clear
Signature Date*

MonthDayYear
Should be Empty:

$400 WADDINGHAM Memorial Scholarship Fund

MUSICIANS ASSOCIATION

DEADLINE: APRIL 25, 2023

To qualify for funding you must attend a school in one of the following counties: Burleigh, Emmons, Grant, Kidder, Logan, Mclean, Morton, and Oliver.

PLEASE COMPLETE ONLINE.

25. VERY IMPORTANT... Contact your instructor and ask if they would complete an online recommendation for you. Enter your instructor's Name and Email in the boxes below.