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.
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?*

YesNo
I am applying to borrow a set of:*

SmallpipesReelpipes (some bellows-blown smallpipes experience required)
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?*

YesNo
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:*

Clear
Are you under 18?*

YesNo
Signature from your parent or guardian:*

Clear
Parent/Guardian Name*

First NameLast Name
Should be Empty: