PTG Foundation Leadership Scholarship Application

Leadership Scholarship Application Form
Please CLICK HERE to read the Application Instructions carefully before proceeding.
Application Instruction Verification*

I certify that I have read and understood the application instructions
I. Applicant Information
Full Name :*

First NameLast Name
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Number :*
Format: (000) 000-0000.
E-mail :*

Confirmation Email
II. Chapter Information
PTG Member Number :*
Chapter :*
Chapter Office You Hold :*
Chapter President :*

First NameLast Name
Contact Number for Chapter President :*
Format: (000) 000-0000.
III. Exam History
How many times have you attempted the Written exam?*
How many times have you attempted the Technical exam?*
How many times have you attempted the Tuning exam?*
Which of the RPT examinations have you completed successfully?*

Written ExamTechnical ExamTuning Exam
Have you been prescreened for your next exam?*
Prescreening Examiner :*

First NameLast Name
Contact Number for Prescreening Examiner :*
Format: (000) 000-0000.
IV. Supporting Documents

Must be in PDF format. Be sure to review the Application Instructions for details on specific information to include in your documents.
Resume :*

Browse Files

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Personal Statement :*

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Email address of Letter of Recommendation Writer #1

Confirmation Email
Letter of Recommendation :*

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Email address of Letter of Recommendation Writer #2

Confirmation Email
Letter of Recommendation :*

Browse Files

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V. Applicant Verification and E-Signature
I agree to allow my name to be used by the Foundation in promotional material (PTG Journal, Foundation website) should I receive a scholarship. (Not a requirement for scholarship eligibility)
I certify that the information provided is accurate, that I plan on a career as a professional piano technician, that I have successfully completed the PTG Written Examination, that my goals include completing the requirements to become a Registered Piano Technician member of the Piano Technicians Guild, and that I have a reasonable expectation of being able to successfully complete either the PTG Technical Examination or the PTG Tuning Examination.
E-Signature :*
The Piano Technicians Guild Foundation is committed to equal opportunity in employment and education. The organization does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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Leadership Scholarship Application Form

I. Applicant Information

II. Chapter Information

III. Exam History

IV. Supporting Documents

V. Applicant Verification and E-Signature