

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
_______
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Two Short Paragraphs on Why You Need Scholarship Assistance and What It
Would Be Used For
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
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)
______________________________________
Submit
Application To:
The Ashley Foundation
P. O. Box 1688
Saint Augustine, Florida
32085
______________________________________
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