SCHOLARSHIP APPLICATION FORM

Instrument/Voice

First name

Last name

Full name as it should appear in a concert program

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone: Select country from dropdown arrow then enter number

Secondary Phone: Select country from dropdown arrow then enter number

Name of High School or College Attending

Grade Level

Area of Study or Degree (Major/Minor)

How long have you sung or played?

How long have you studied privately?

Teacher's Name

Teacher's Email

Teacher's Phone

Describe Musical Background and Experience

Title of Audition Piece

Name of Composer

I give permission for Hendricks Symphony to use my image on publicity and marketing materials, which include Facebook, newspapers, magazines, concert programs, and brochures.

Yes

Student is a minor. I give permission as their parent to use their image as indicated above.

Parent Signature

Signature field is empty.

Contact Information:

Hendricks Symphony Scholarship Program

8103 E US Highway 36, #104

Avon, IN 46123

(317) 313-5451

Please visit our website at:

www.HendricksSymphony.org

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Every website has a story, and your visitors want to hear yours. This space is a great opportunity to give a full background on who you are, what your team does and what your site has to offer. Double click on the text box to start editing your content and make sure to add all the relevant details you want site visitors to know.

If you’re a business, talk about how you started and share your professional journey. Explain your core values, your commitment to customers and how you stand out from the crowd. Add a photo, gallery or video for even more engagement.

Harmony sounds sweeter in Hendricks County

Please Support Your Symphony

SCHOLARSHIP APPLICATION FORM

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