PERSONAL INFORMATION - East Tennessee State University



-228600-57150000Honors CollegeEast Tennessee State UniversityFine and Performing Arts Scholars ProgramScholarship Application Form(Deadline Entry: March 1st, 2019 for Fall 2019)Please save this form to your computer, insert information into each field on the form then save your copy. If any information requested below changes after you submit your application, please notify us of those changes by email at koterbay@etsu.edu. You must also apply for general admission to ETSU in order for your honors application to be processed. For ETSU General Admission information, please visit INFORMATIONName: ????????????????????____LastFirstMiddleMaidenE# (if known): ?????Telephone: ?????__Email: ?????____Area codeAddress: ?????____StreetCityStateZip codeLegal Guardian(s) Name(s): ?????Permanent Mailing Address (if different): ???__??____StreetCityStateZip codeACADEMIC INFORMATIONHigh School Attended: Name: Telephone: ?????Area codeHigh School Address: ?????______________StreetCityStateZip codeHigh School Grade Point Average (4.0 scale): ????? You must include a copy of your high school transcript in your application packet.Please also provide the following information:ACT Score: ????? (Composite total without writing) or SAT Score: ????? (Include Total of Math & Reading scores ONLY)Have you applied for admission to ETSU? YES NODate of application: Admission Status: Accepted PendingExpected Entry Date:Intended Academic Major and/or Minor: Career Objective: How did you learn about the Fine & Performing Arts Scholars Program:_________________________________EXPERIENCEPlease provide the following information with your completed application:Resume of your art-related work and activitiesPortfolio or evidence of your artistic abilities, according to the guidelines on our website () in a digital format (an inexpensive USB drive is recommended)NARRATIVEPlease provide your personal narrative that describes your passion for art (you may submit separate sheet for narrative). As an example, consider the following question: “Why I MUST ________ (sculpt, act, design, perform or compose music, etc.).” LETTERS OF RECOMMENDATIONYou must submit THREE letters of recommendation with your application. At least TWO letters must be requested from people familiar with your artistry. Please follow these mandatory instructions:Give each of your references a pre-addressed envelope. Ask each one to insert their letter in the envelope, seal it, and sign over the flap before returning to you. Place all three sealed letters, your application, and all other materials in a single packet and mail NO LATER THAN MARCH 1st, 2019 to:USPS Mailing AddressStreet Address for hand deliveryFine and Performing Arts Scholars ProgramHonors College, East Tennessee State UniversityPO Box 70589Johnson City, TN, 37614-1708OREast Tennessee State UniversityYoakley Hall, Room 206161 S. Dossett DriveJohnson City, TN, 37614-1708If you have any questions about completing the application, you may contact us by calling 423-439-7507 or by emailing Kionne King ( HYPERLINK "mailto:kingkm2@mail.etsu.edu" kingkm2@mail.etsu.edu) or Scott Contreras-Koterbay (koterbay@etsu.edu). It is the applicant’s responsibility to check with the Honors College to verify that all required materials have been received.Please note that admission to specific degree programs at ETSU may require separate audition or portfolios reviews. If you would like your application to be available to other potential programs at ETSU, sign the release below.RELEASE: I hereby give permission for this application to be forwarded to other Honors or scholarship programs in my listed area of potential major should I not be offered a Fine and Performing Arts Scholars Program scholarship.SignatureDate ................
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