Music Scholarship Application

Applicant Information

Email Address

First Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Phone

High School

Intended Major

CEEB CODE

Musical Profile (complete applicable sections)

VOCAL

VOCAL PART

Teacher(s) - Vocal

Years Studied - Vocal

KEYBOARD

KEYBOARD INSTRUMENTS PLAYED

Teacher(s) - Keyboard Instruments

Years Studied - Keyboard Instruments

BAND/ORCHESTRAL

BAND OR ORCHESTRAL INSTRUMENTS PLAYED

Teacher(s) - Band or Orchestral Instruments

Years Studied Band or Orchestral Instruments

Awards, Honors, Activities, and Goals

List any musical awards or honors you received while in high school.

List and give dates for any music camps, workshops, or institutes you have attended.

List any high school music ensembles in which you have participated.

Briefly describe your musical interests and goals.

References

Please provide the name, email, and phone number for two references. Your references will then receive a document via email to provide a recommendation on your behalf.

Reference 1

Reference 1: Email address

Reference 1: Phone Number

Reference 2

Reference 2: Email address

Reference 2: Phone Number

Accompanist Request

I would like to request an accompanist:

Yes

No

Please contact Jeremy Zima at jeremy.zima@wlc.edu or at 414.443.8706 for more information about the next steps for requesting an accompanist.

If this changes and an accompanist will need to be requested, please contact Jeremy Zima via email at jeremy.zima@wlc.edu or phone at 414.443.8706 as soon as possible.