SEMSBA Fall Lesson Scholarship Application

SEMSBA FALL LESSON Scholarship Application

Application Deadline - December 11th, 2024
I. Personal Data

Tell us about yourself
Student Full Name*

First NameLast Name
Student Email *
Where the confirmation will be send to
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Home Phone No*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade*

8th9th10th11th12th
Instrument*
School Name*
School Music Teacher Name*
School Music Teacher Email*
example@example.com
Preferred Private Teacher's Name
Check one:

current private teacherstudied with this private teacher in the pastnever studied with this private teacherneed a recommendation for a teacher
List School Ensembles and all years involved:*
SEMSBA Festivals and all years involved:*

0/300
II. Essay
Your essay should be at least 300 words. You should address in your essay why you would be a good candidate for this scholarship. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.

It is recommended that you type your essay in another document and then copy and paste here when finished to ensure your work isn't interrupted and lost.
Essay*

0/500
III. Report Card
Upload your most recent report card.*

Cancelof
IV. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Student Signature*

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Parent/Guardian Signature*

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Date Signed

MonthDayYear
Date
Should be Empty:

SEMSBA FALL LESSON Scholarship Application

I. Personal Data

II. Essay

III. Report Card

IV. Applicant's E-Signature