Smallpipes Lending Program Application

Smallpipes Lending Program Application
Student's Name

First NameLast Name
E-mail
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date of Student

MonthDayYear
Are you or is your family a member of the Celtic Arts Foundation?
I am applying to borrow a set of:
Help us get to know you! Please take a paragraph or more to respond to each of the following questions:
Why are you applying for this program? What do you hope to get out of it?
Do you play any type of bagpipe already (for example, Highland Pipes), and if so, for how long?
Are you currently taking lessons?
What is your teacher's name?
What is your experience with instrument maintenance?
What is your involvement with the Celtic music community?
What makes you a good candidate for this program?
I have read the entire application above and understand that any false information furnished in or with this application or failure to furnish all required items will disqualify me for any consideration for this award. If selected for a scholarship, I authorize Celtic Arts Foundation to use my photo and name for promotional purposes:
Are you under 18?
Signature from your parent or guardian:
Parent/Guardian Name

First NameLast Name
Should be Empty: