Scholarship Application Form
Refer to page 16 for scholarship requirements.
Name: ________________________________________________________________
Address: _______________________________________________________________
______________________________________________________________________
Phone: ________________________________________________________________
Email: ________________________________________________________________
Age: ___________ Number of years playing: ______________
Private Lessons: p Yes p No If yes, for how long? _____________________________
Theory Knowledge: p None p Beg. p Int. p Adv.
Music Reading Ability: p None p Beg. p Int. p Adv.
Tablature Reading Ability: p None p Beg. p Int. p Adv.
How many sessions do you plan to attend? _____________________________________
Education: p High School p College/University p Highest level completed ______
Marital Status: p Single p Married p Divorced
Household Income: p Below 35,000 p 35,000 – 50,000
p 50,000 – 65,000 p 65,000 – 80,000
p 80,000 – 100,000 p Above 100,000
The information above is true to the best of my knowledge:
Signature: ______________________________________________________________
Parent / Guardian Signature: _______________________________________________
(if applicant is under 18)
For more information call 905.567.8000 or www.guitarworkshopplus.com
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