Scholarship Application Template 2003 - Clarendon College



Music Department Major Scholarship Application 2007/2008

Clarendon College Music Department

PO Box 277

Clarendon, TX 79226

(806) 874-4836

(806) 874-5080 Fax

1. DEADLINE for Early scholarship applications is May 15, 2007, 5:00 p.m. Late applications will be taken until the first day of class in August.

2. Type or print legibly. Illegible applications will be returned to you.

3. You will be notified by mail in late May regarding the status of your early application.

4. If you have any questions about the application, please call the Music office at (806) 874-4836

PERSONAL INFORMATION

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|Please type or print your answers. If application is illegible it will be returned to you. |

| | | |

|1. |First Name: |Last Name: |

|2. |Mailing Address:: |

| |Street/Box: _________________________________________________________ |

| | |

| |City: State: ZIP: |

| | |

|3. |Daytime Telephone Number: ( ) |

| | |

|4. |Date of Birth: Month Day Year |

| | |

|5. |Social Security Number: |

| | |

|6. |In the Fall of 2007, I will be attending college as a: (Circle one) |

| | |

| |Freshman Sophomore Early Admissions/Concurrent Enrollment |

| | |

|7. |Grade Point Average (GPA): __________ (On a 4.0 scale) |

|8. |Name & address of parent(s) or legal guardian(s): |

| |Name (s) |

| |______________________________________________________________________________ |

| | |

| |Street/Box: ___________________________ City:_____________________ State: ______ ZIP:_____________ |

| | |

| |Home phone of parents or legal guardians: _________________________________________ |

|9. |Name and city of high school attended: |Year will graduate/ graduated: ________ |

| |. | |

|10. |List the name of any college you have attended. |Year |Year |Year |Type of Degree |

| |(If you have not attended college yet, go on to question 11.) |Began |Ended |Graduated |Received |

| | | | |(If applicable) |(If applicable) |

| |A. | | | | | |

| |B. | | | | | |

|11. |What do you plan to major in as you continue your education? |

Personal Essays

|12. |What are your educational goals and objectives? |

|13. |List your musical/academic honors, awards and membership activities while in high school or college: (You can attach your resume if it has this information.) |

|14. |List your community service activities, hobbies, outside interests, and extracurricular activities: (You can attach your resume if it has this information.) |

|15. | |

| |Instrument(s): _____________________________________ Voice Part: _____________________ |

| | |

| |High School Director’s Name: _________________________________________________________ |

STATEMENT OF ACCURACY

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge.

Signature of scholarship applicant: _________________________________ Date: _______________________

Mail application to Clarendon College Music Department, PO Box 277, Clarendon, TX 79226

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