Right Click Here and select SAVE TARGET AS to download Application as a word document.

 

Name _________________________________________________________ Age ________

 Address _______________________________   Phone Number (Include area code) ____________  e-Mail Address ____________________

 Parents Name ___________________________________________________

 Parents Address ___________________________________   Parents e-Mail   ____________________

 School Name ______________________________________   School Address ___________________________________

 School Grade ________   Instrument _____________________  How Long You Have Played ________   Do You Study Privately ________

 School Director and/or Private Teachers Name   _________________________________________________________

 School Director and/or Private Teachers Phone Number (Include area code) _________________

 List of Musical Groups You Are or Have Been a Part Of :

1 _______________________________________________________ Length of Participation in Group   _______
2 _______________________________________________________ Length of Participation in Group   _______
3 _______________________________________________________ Length of Participation in Group   _______
4 _______________________________________________________ Length of Participation in Group   _______
5 _______________________________________________________ Length of Participation in Group   _______
6 _______________________________________________________ Length of Participation in Group _______

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  Two Short Paragraphs on Why You Need Scholarship Assistance and What It Would Be Used For     ____________________________________________________________________________________________________________________
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 Two Letters of Reference From Persons of Authority, Such as a Teacher

  Attach a Brochure From The Workshop/Clinic/Camp You Wish to Attend (if applicable)

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Submit Application To:
 
The Ashley Foundation
P. O. Box 1688
Saint Augustine, Florida
32085
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