Name:

Street Address:

City:

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Zip Code:

Phone:

Email:

High School:

GPA (Semester/Cumulative):

Parents' Name(s):

Parents' Phone:

Parent Email:

List relevant music and theatre experience, including years, the setting, names of directors, performances, and camps.

List any extracurricular activities.

List two musicians/educators who can confirm your suitability for the Music and Theatre Scholarship. Include name, position, relationship, address, phone, email.

Include a letter of recommendation from one of the references.

(Only .pdf, .doc, .docx file types accepted.)

Most comfortable singing part:
S1 S2 A1 A2 T1 T2 Baritone Bass

Have you taken private lessons? If yes, how long and what instrument?

Do you read music? Yes No

Why do you feel you are a likely candidate for the scholarship?

What qualities and contributions will you bring to the SCC Music and Theatre Department?

You will receive a confirmation email if your submission is successful.