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Gargiulo Legacy Fund Music Scholarship Application
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth (XX/XX/XXXX)
School Name
Average GPA over the past 12 months:
Are you currently enrolled in a music program?
Yes
No
Scholarship Request
For what type of instrument are you requesting lessons?
Guitar, Mandolin, Ukulele
Drums
Violin, Viola, Cello
Piano, Keyboard
Voice Lessons
What type of scholarship are you applying for? (Weekly 30-minute lessons are $228 per month.)
Full Scholarship 100%
Partial Scholarship 75%
Partial Scholarship 50%
Partial Scholarship 25%
Do you currently have an instrument for these lessons?
Yes
No
How much experience have you had playing this instrument?
None
Less than 1 year
1-2 years
2-4 years
More than 5 years
Application Materials
Please ensure that the following documents are included with your application:
Personal Statement: Describe why music is important in your life and how this scholarship will benefit you. This can be written below or as a video link.
Letter of Recommendation: Attach a letter from a music teacher or mentor who can speak to your musical talent and dedication.
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Parent/Guardian Information
Parent/Guardian Full Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Application Deadline
January 6, 2025
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