The Young Organist Collaborative

PO Box 1235

Milligan College, TN 37682

(423) 341-0378

Application for Organ Study Scholarship 2018-2019

 

Name: ___________________________________________ Nickname: ______________________ M/F: _____

Address: __________________________________________________________________________________

Town: ___________________________________________________ State: _______ Zip: _________________

Telephone No. (____) ___________________________ Age: ______ Birth Date: ________________________

(Minimum Age: 10 years, Maximum Age: 16 years)

Parents’ / Guardians’ names: __________________________________________________________________

Parent and/or student email address (for contact by YOC only): ______________________________________

School: __________________________________________________________________ Grade: ___________

Instrument #1: ______________________________________________ Years of music study: _____________

Teacher’s name & telephone: __________________________________________________________

Instrument #2: ______________________________________________ Years of music study: _____________

Teacher’s name & telephone: _________________________________________________________

Other interests / activities: ____________________________________________________________________

How did you find out about the Young Organist Collaborative?­­­­­­­­­­­­­­­­_______________________________________

__________________________________________________________________________________________

Why do you want to study the organ?___________________________________________________________

__________________________________________________________________________________________

Church or Congregation:______________________________________________________________________

(this information may be helpful with placement, securing practice space, and fundraising.)

Today’s Date ________________________________________

 

APPLICATIONS MUST BE RECEIVED BY August 4, 2018, and include a written recommendation from a music teacher which may arrive separately.  Please mail to PO Box above, or email to bobthecomposer@gmail.com