BEACH CITIES SYMPHONY ASSOCIATION

SCHOLARSHIP APPLICATION

 

YOUR INFORMATION

Name______________________________________________________________

Address____________________________________________________________

Phone_____________________Email (if available)______________________________________________

School Attending______________________________Instrument______________

Grade (at time of application)________________Years of Music Study__________________

 

RECOMMENDATIONS

Music Teacher’s Name________________________________________________

Address_______________________________________________

Phone______________________Email (if available)__________________________________________________

Additional References (optional)_____________________________________________

Phone______________________Email (if available)_________________________________________________

 

MUSICAL ACCOMPLISHMENTS (for example, performing groups, awards)

___________________________________________________________________

___________________________________________________________________

 

EXTRACURRICULAR ACTIVITIES (for example, clubs, volunteer work, athletics)

___________________________________________________________________

___________________________________________________________________

 

PROPOSED REPERTOIRE FOR AUDITION (Two pieces in contrasting styles)

Composer___________________________Title____________________________

Composer___________________________Title____________________________

 

INCLUDE OR ATTACH THE FOLLOWING:

___ 200-300 word essay (including how you chose your instrument; how you plan to spends the scholarship money.)

___ Recommendation letter from your music teacher (required)

___ Second recommendation letter from a teacher or another adult who is not a parent of the applicant (optional)

___ Music sample: May be on cassette or CD; include your name, composer’s name, and selection title (optional)

 

Applicant’s Signature___________________________________Date__________

Parent or Guardian’s Name (Print)_______________________________________

Parent or Guardian’s Signature___________________________Date___________

Mail to: Beach Cities Symphony Association

P.O. Box 248 • Redondo Beach, CA 90277-0248

 

This page last revised November 23,2009

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