Music Scholarship Application

Piano Scholarship Application

Music Department, 1400 College Drive, Waco, TX 76708 | (254) 299-8283
Name:*

First NameMiddle NameLast Name
MCC Student ID:*
Date of Birth:

MonthDayYear
Date
Phone:
Email:
example@example.com
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian name(s):
Parent/Guardian phone number:
Primary Instrument/Voice part:
Secondary Instrument (if any):
High School:
High School Ensemble Head Director:
High School Graduation Year:
Class Rank:
High School GPA:
Academic and Music Honors/Involvement:
(TMEA, ATSSB, UIL, etc.)
If you have been a college student**, what is your cumulative GPA?
**Scholarships are not awarded to students with a cumulative college GPA of less than 2.5 or ensemble grades lower than A.
Expected College Major:
Expected Entry Date:
Fall or Spring, Year
If you are presently an MCC student, what is your declared major?
Do you intend to apply for other MCC scholarships?

YesNo
If yes, which scholarships?
By signing below, I certify that all of the above information is true and correct. I understand that no action can be taken on my audition results until at least two Music Scholarship Recommendation Forms have been received by the MCC Music Department, and it is my responsibility to ensure that they have been received. I also understand that recommendations must be submitted on the official MCC Music Scholarship Recommendation Form.

List two people who can serve as references.
Reference Name:
Title:
Email:
Reference Name:
Title:
Email:
Student Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Piano Scholarship Application