APPLICANT INFORMATION

Applicant Name:	 _____________________________________________________________

Home Address: 	_____________________________________________________________

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Phone Number: 	_______________________  Email: ________________________________

Instrument(s):	 	_____________________________________________________________

Current School:	_____________________________________________________________

School Next Calendar Year:   _______________________________________________________

	GPA: __________		Class Rank/Number in Class: _____ of _____ (high school  only)   

List ensemble involvement:   __________________________________________________________

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ACHIEVEMENT – AWARDS - RECOGNITION

Music Achievements:	 _______________________________________________________________

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Non-Music Achievements:  ___________________________________________________________

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School Activities: ___________________________________________________________________

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Community/Personal Activities:  _______________________________________________________

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AUDITION SELECTION   (to be performed with NWS on the Spring Concert, if chosen as winner)

Selection Name: _________________________________________________________

Composer: 	   _________________________________________________________

Publisher:          __________________________________________________________

Selected from NWS repertoire list? (yes/no)  _________________

If no, you must confirm that band accompaniment is available to be borrowed, rented, purchased; or that you would be able to prepare equally well a different piece that has band accompaniment, if selected to perform in April as scholarship winner.
Recording of your audition piece must be submitted with the application.  It is preferred that the submitted recording includes piano accompaniment.

INSTRUMENTAL ENSEMBLE PARTICIPATION

Explain your plans for participation in an instrumental ensemble both during your college years and beyond. 

REFERENCES
NWS will contact the references with specific questions to help us in our evaluation process.

Ref Name 1: 	____________________________________________________________________

Relationship: 	____________________________________________________________________

Email Address (required):  __________________________________________________________

Phone:  _________________________________________________________________________

Ref Name 2: 	____________________________________________________________________

Relationship: 	____________________________________________________________________

Email Address (required): ___________________________________________________________

Phone:		_____________________________________________________________________

Post completed application with a digital audio file of the audition solo using the Google form available at the NWS website:  https://nebraskawindsymphony.com/scholarship