APPLICANT INFORMATION

Applicant Name:	 _____________________________________________________________

Home Address: 	_____________________________________________________________

City, State, Zip:	_____________________________________________________________

Phone Number: 	_______________________  Email: ________________________________

Instrument(s):	 	_____________________________________________________________

Current School:	_____________________________________________________________

School Next Calendar Year:   _______________________________________________________

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

List music 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   (potentially to be performed with NWS at a concert, if chosen as top winner)

Selection Name: _________________________________________________________

Composer: 	   _________________________________________________________

Publisher:          __________________________________________________________

Recording of your audition piece must be submitted with the application.  It is preferred that the submitted recording includes piano accompaniment.

Is this selection from the NWS repertoire list? (yes/no) ____________

If No, is band accompaniment readily available? (yes/no)   ___________   

If you are selected to perform, the accompaniment may need to be borrowed, purchased, rented.
If no band/wind accompaniment is available, you may be asked to prepare an alternate piece with band 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