NGPT $200.00 Scholarship Application

Name of Applicant:_________________________________

Address:________________________________________
City/State/Zip:____________________________________

Name of Present Teacher:__________________________

Address:________________________________________
City/State/Zip:____________________________________
Email Address:___________________________________

Candidates for the $200.00 Scholarship: Please complete this form and enclose with your ten inner report cards and stubs. (Send copies--do not send originals.)

Mail to:
Scholarship Committee
American College of Musicians
P.O. Box 1807
Austin, TX. 78767-1807

Application deadline: September 15.

Scholarship applications must be filed during the same year in which the student completes the requirements. Students have four years after high school graduation to complete their tenth national program. After being notified of approval, students have one year in which to make use of the scholarship.

Your eligibility depends on your having fulfilled the following requirements:
1. National winner for ten years, with grades totaling at least 140 more C's than A's
2. Paderewski Medal winner (application required)
3. Guild High School Diploma recipient (not High School Diploma in Social Music)

Year / No. C's / No. A's / No. of Pieces / Name of Judge / Name of Teacher / City and State
1.___________________________________________________
2.___________________________________________________
3.___________________________________________________
4.___________________________________________________
5.___________________________________________________
6.___________________________________________________
7.___________________________________________________
8.___________________________________________________
9.___________________________________________________
10.__________________________________________________
Total:____________________________

Year Paderewski Medal winner:_____
Year Guild High School Diploma winner:_____
Total Number of C's over A's:_____

This scholarship is only applicable to students continuing their piano study. Students have one year from date of completing eligibility in which to make use of this scholarship.

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Please Print this page out and mail it to us.
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