Application for Music Scholarship


	Department of Music

Application for Music Scholarship
(Incoming Majors)

Please complete the Music Scholarship form and send to:
Dr. Shelia J. Maye
Chair, Department of Music
Hampton University
Hampton, Virginia 23668

Name:

SSN:

Permanent Address

City:

State:

Zip Code:

Phone#:

Name of your school:
NO:	Street:
City:	State:	Zip Code:

Directors Name:

Phone#:

Private Teacher:

Phone#:

Your Instrument:

Years Performed:

List Solos Performed:

Number of years in Band, Orchestra, or Choir:

Part played:

List awards that you have received:

List of other activities:

Have you applied to Hampton University:
Yes No

If no, when will you apply?

Will your audition be
in Person on Audio or Video tape

For Official Use Only

Date received: __________________________

Admission status:____________________________

Type of audition:_________________________

Evaluator:_________________________________

Audition scores:_________________________

Accepted:_________________________________

Rejected:______________________________

Amount awarded:___________________________