The following is a copy of the 2013 Scholarship Application. Applications can be obtained from Mr S starting January 11, 2013 or you can email the Boosters to request a copy which will be sent to you via email. All applications must be completed and turned in to Mr S no later than
March 1, 2013 for evaluation.
McCluer
North Band Booster
Scholarship
Application
Application
Deadline – March 1, 2013
The McCluer North
Band Boosters will consider all eligible senior applicants for a scholarship.
Each applicant is required to write an essay (500 word minimum) describing how
music has benefited him/her. The
scholarship may only be applied to the 2013 Summer or 2013 Fall semester and
will be payable to the College in which the student is accepted and registered
for classes.
STUDENT/ADVISOR/REFERENCE: Ensure that signatures
are completed at the bottom of the first and second pages of this application.
Please return the completed application to the McCluer North Band Booster
Executive Committee for further processing.
Please print clearly.
1. ______________________________________________________________________________
Name: (Last, First, MI)
2.
______________________________________________________________________________
Address City
State Zip
3. ________________________ 4. _______________________
Home
Phone (with area code) Cell Phone (with area code)
5. Are you planning on attending
college: _____ Full-time (12+ hrs) _____ Part-time (< 12 hrs.)
6. List 4 colleges that you have
applied to:
a.
__________________________________________ b.
__________________________________
College 1 College 2
c. __________________________________________
d. __________________________________
College 3 College 4
7. Program of Study:
_____________________________ _______________________________
Major Minor
8. List school, civic, and charitable
memberships held:
________________________________________________________________________________
Organization Date Began Date Ended
________________________________________________________________________________
Organization Date Began Date Ended
________________________________________________________________________________
Organization Date Began Date Ended
9. List three character references (not
related to you):
________________________________________________________________________________
Reference #1 City of Residence Phone Number
(with area code)
________________________________________________________________________________
Reference #1
City of Residence Phone Number
(with area code)
________________________________________________________________________________
Reference #1
City of Residence Phone Number
(with area code)
Applicant's Signature ____________________________________
Date______________________
(I signify that the
information contained in this application is correct.)
McCluer
North Band Booster
Scholarship
Application
Page
2- Essay, Remarks & Recommendations
Application
Deadline – March 1, 2013
10.______________________________________________________________________________
Name: (Last, First,
MI)
11.
Essay
Please type and attach an essay describing how
music has benefited you and how a scholarship will help you attain your
educational and professional goals. This
narrative should be written carefully and will be used as part of the
evaluations process for scholarship selection.
To be completed by Band Director:
12.______________________________________________________________________________
Name: (Last, First,
MI)
In the space below,
please have your Band Director provide comments regarding you and your
scholarship application. This will be used as part of the evaluation process
for scholarship selection. Attach additional sheets if needed.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
____________________________________
_____________________________
Signature: Date:
---------------------------------------------------------------------------------------------------------------------------------------
To be completed by McCluer
North Band Executive Committee Member:
Date Application
received:_______________
Application Signed by
applicant? _______yes ______no
Advisor? _______yes ______no
Does Applicant qualify:
_______yes ______no
Essay complete?
_______yes ______no
Scholarship
Approved:
_____________________________________President ________________
Name
Title Date
Scholarship
Approved:
_____________________________________Vice President ________________
Name
Title
Date
Scholarship
Approved:
_____________________________________Secretary ________________
Name
Title Date
Scholarship
Approved:
_____________________________________Treasurer ________________
Name
Title
Date
Scholarship Awarded:
_______yes Amount: _____________ Date:___________________
_______ no Reason:
___________________________________________________________________
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