A music instructor, band director, high school counselor, a college advisor, an instructor, a professional person, or a
supervisor must complete this appraisal.
Applicant's Name:_______________________________ Phone Number:_________________________
Address:_______________________________________________________________________________
With limited funds available, your appraisal will be most important to this applicant. Please give it your immediate
and serious attention.
A. Period of time you have known the applicant:_____________________________
B. How well do you know the applicant? Very well _______ Fairly well _______ Limited contact _______
C. Please answer the following questions based on your knowledge of the student.
1. Has this applicant demonstrated positive school and community citizenship? Yes _____ No ______
2. Do achievement or performance records reflect this applicant's musical ability or aptitude?
Yes _____ No ______
If you answered "NO" to any of the above questions, please explain:
______________________________________________________________________________________________
______________________________________________________________________________________________
D. Describe your knowledge of the applicant's musical aptitude or experience.
______________________________________________________________________________________________
______________________________________________________________________________________________
E. Unusual circumstances or factors, which you feel, warrant special attention (including financial):
______________________________________________________________________________________________
______________________________________________________________________________________________
Appraiser's Signature________________________________ Appraiser's Title_______________ Date________
Date
School, Business, Organization, etc._______________________________ Telephone_______________
Address_______________________________________ City___________________ State________ Zip___________