SAGWA EVENT SCHOLARSHIP APPLICATION

STUDENT NAME_________________________________INSTRUMENT________________ BOOK____
AGE_____ GRADE IN SCHOOL ________ CURRENT PIECE_____________________________
CURRENT PRIVATE TEACHER______________________________________________________________
TEACHER PHONE NUMBER: _________________________________

EVENT FOR WHICH FINANCIAL AID IS REQUESTED (Check one): YEAR 20__

 Cello Workshop  Suzuki String Festival  Greater Washington String Institute
 Fall String Workshop  Shenandoah Weekend  SAGWA Flute Institute
 Greater Washington Suzuki Piano Institute  SAGWA Membership

SAGWA MEMBERSHIP SCHOLARSHIP:

Is Applicant a member of SAGWA? _____YES _____NO?
Current Teacher membership in SAGWA and SAA? _______ YES ______NO

GEOGRAPHICAL REQUIREMENT: Applicant must study with teacher within the geographical boundary listed below to receive a scholarship. (The boundaries are Fredericksbu rg, VA/Culpepper, VA/Front Royal, VA/Winchester, VA to Martinsburg, WV/Frederick, MD/Columbia, MD to Bowie, MD/St. Charles, MD/Fredericksburg, VA.) Does Applicant study with a teacher who teaches within the SAGWA geographical boundaries? ___YES ___NO

CONTACT INFORMATION:

Father : Mother :
Address : Address :
: :
Phone(H) : Phone(H) :
Phone(W) : Phone(W) :
EMail : EMail :
Occupation : Occupation :

FINANCIAL INFORMATION:

EVENT SCHOLARSHP DEADLINES:

VOLUNTEER HOURS: ___ (initial here) I/We agree that I/we will volunteer a minimum of 1 hour for the event, if aid is accepted and received. I/We understand that I/we will be contacted on how I/we can assist with the event. This scholarship is based on financial need. The above information will be reviewed only by the scholarship committee and is confidential. The information will not be released to the teacher.

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Application Directions

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