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St. Andrew's Society of New HampshireC/O Mrs. Tammy Melcher
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Signature_______________________________________
Date_________________ Parent or Guardian's signature if you are a minor__________________________________ |
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PLEASE COMPLETE THE FOLLOWING: Name ______________________________________________Telephone_______________________________ Mailing Address: Street ________________________________________________________________________ City ___________________________________________________ State ______________ Zip _____________ Performing art for which this scholarship grant is sought ______________________________________________ How long have you been training in this area?______________________________________________________ Name and Address of your current teacher ________________________________________________________ __________________________________________________________________________________________ How long have you studied with this teacher? ______________________________________________________ At what level or grade are you now classified? _____________________________________________________ Are you a teacher in your field of Scottish Performing arts? _____________________________________________ How often do you teach? _____________________________________ How many students do you have?_______________________________ What is your immediate objective this year? ________________________________________________________ ___________________________________________________________________________________________ What is your future goal? ______________________________________________________________________ What other Scottish cultural activities or Scottish performing arts do you participate in? ___________________________________________________________________________________________ How much assistance are you requesting? _________________________________________________________ For what purpose will you use the grant, if awarded? (i.e., school, workshop, lessons) ___________________________________________________________________________________________ Name of the training program you plan to attend: ___________________________________________________ Address of school: ____________________________________________________________________________ ______________________________________________________________Telephone ____________________ Contact person _________________________________________________ Telephone ____________________ Dates you plan to attend _______________________________________ Date for payment _________________ Tuition of program, or cost of each lesson _________________________________________________________ Room and board, if separate ___________________________________________________________________ List other scholarship sources, if any, to which you have applied, or will apply this year: ___________________________________________________________________________________________ ___________________________________________________________________________________________ On another sheet of paper, please write a short essay, not more than one page, to help the committee get to know you better. You may choose to include any special honors, awards, or personal accomplishments you have attained this year, the number of competitions you entered last year and how you placed in them, and your age. |