Music and Arts Summer Camp Scholarship Application

Music and Arts Summer Camp Scholarship Application

Please fully complete the application before submitting.
Applicant Information
Applicant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
School Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Parent or Guardian Information
Parent or Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number*
Please enter a valid phone number.
Cell Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Relationship to Applicant*
School Information
Name of School Attending*
Current Grade*
Name of Music/Band Teacher or Theater Director*

Please list your last three music experiences in school or with an outside instructor, if any.

	Class or Lesson	Instructors Name	Instructor's Contact	Dates & Number of Hours per Week
1
2
3

Please list your last three Theater experiences in school or with an outside instructor or community group, if any.

	Class or Lesson	Instructors Name	Instructor's Contact	Dates & Number of Hours per Week
1
2
3

Instrument/Vocal Experience

	Instrument or Vocal Category	Number of Years Studied
Primary
Secondary

Theater Experience

	Role in the Theater	Years of Experience
Primary
Secondary

Personal Resume:

Please upload a copy of your resume below. A sample resume can be found on our website under the scholarship info packets.
Resume*

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Summer Program

I plan to apply or have applied to the summer music or theater program(s) listed below:

Cost of Camp

	Camp	Program Cost	Total Cost to Attend: (additional cost not included in program)	Deposit Amount	How much financial assistance are you requesting with this scholarship? (Please list dollar amount)
1
2
3
4

If you are attending a summer camp for an instrument or vocals, please answer the following questions:
Please tell us how music has changed your life.
Why do you want to attend a music summer camp?
How will you keep music in your life? Please explain:
List any musical activities in which you have participated including ensembles, solo performances, and musicals:
If you are attending a summer camp for Theater, please answer the following questions:
Please tell us how Theater has changed your life.
Why do you want to attend a Theater summer camp?
How will you keep Theater in your life? Please explain:
List any Theater related activities in which you have participated:
Recommendation
A recommendaiton form must be uploaded below. Please make sure to allow ample time to receive the recommendation back from your references to submit by the deadline. A copy of the recommendation form can be found on our website.
Please upload the recommendation form from your music teacher or Theater director here:*

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Certification
We acknowledge that the information in this application is correct to the best of our knowledge. We fully understand that if an award is given to the applicant, it is for the purpose of tuition and related expenses at an approved summer music program in Michigan.

In the event that the award is given and the applicant does not enter a summer program or withdraws from the program prior to using the award, the applicant relinquishes claim to the award in order that it might be given to another student.
Applicant's Signature*

Clear
Parent or Guardian Signature*

Clear
Date*

MonthDayYear
Should be Empty:

Applicant Information