Print using black ink or type. All blanks must be filled out for application to be considered.
1. Please circle the scholarship type you are applying for: Type I Type 2
2. Social Security Number:_____________________________________________________
3. Last Name:_________________________ First name:_____________________ Middle Initial:_______
4. Street Address:________________________ City:____________________ State:_____ Zip:__________
5. Birthdate:______________ Telephone:____________________ E-mail address:_____________________
6. Are you a Muskegon County resident? Yes No
7. School or College currently or last attended:_______________________________________________
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Street:___________________________ City:_______________________ State:_________ Zip:_______
Graduation Date:_________________________ School Telephone: _______________________________
8. School or College attending next fall:______________________________________________________
Street:___________________________ City:_______________________ State:_________ Zip:_______
Graduation Date:_________________________ School Telephone: _______________________________
9. What area of music (i.e., instrument, vocal, etc.,) do you plan on pursuing: ______________
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10. Please describe any previous experience in the field of music, including, ensembles, awards, lessons, etc.
(Please indicate dates where appropriate).
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