Hortonville Area School District - Music Booster Scholarship

1.

*

Student Name (First and Last)

2.

*

School student attends

3.

*

Current Grade in School

4.

*

Current Music Teacher(s)

Use your Ctrl & Shift keys to select multiples.

5.

*

Groups

(1 required)

Band

Choir

Both

6.

*

Music Ensembles involved in

7.

Other HASD extra curricular activities.

8.

*

Camp or program planning on attending

9.

*

Sponsor of the camp?

10.

Music Type

11.

*

Dates of the Camp

12.

*

Cost of the camp

13.

Camp web site link (URL) - If none, please provide a brochure that shows cost and dates.

14.

*

If you receive a scholarship, would you be willing to write a short testimonial about your camp experience?

yes

no

15.

*

Why are you interested in attending a music camp or program?

16.

*

What knowledge do you think you will gain from attending this music camp or program?

17.

*

How will you apply this knowledge to your future HASD school music ambitions?

Music Booster Scholarship

Music Scholarship Application: