Public Performance Scholarship Application
Bluegrass Old Time, and Country Music Studies
East Tennessee State University
INSTRUCTIONS
1) Using a word-processing program (Microsoft Word, etc. )provide the
information required for each section below
2) Fill in the appropriate Academic information section (first-time or
transfer student) and the rest of the fields that follow.
3) After filling out this form completely, save in “.doc” format with your
name and “PPS” in the filename. For example, if your name is John Duffey,
use the “save as” command to save your application document as
“JohnDuffeyPPS.doc”
4) Email the completed application document file to BLUE-PPS@etsu.edu
o If applying for Fall semester admission, due March 5th
o For Spring semester admission, due November 1st.
PERSONAL INFORMATION
Date: _________________________________________
Name: _________________________________________________________
First
Middle
Last
Social Security #: _______________
Telephone: ________________
Email: _______________________
Mailing Address
Street : _________________________________________
City : _________________________________________
State:___________
Public Performance Scholarship Application
Bluegrass Old Time, and Country Music Studies
East Tennessee State University
Zip Code: _______________
ADMISSION INFORMATION
Have you applied for admission to ETSU? ____
Date of application: ________________
Admission Status (Accepted / Pending ): ___________
Expected Entry Date (semester and year): _____________
Intended Academic Major: _______________________
Intended Academic Minor: _______________________
ENTERING FIRST-YEAR STUDENT
Academic Information
Name of High School: _______________________
Telephone: _______________________
Address: _______________________
Grade Point Average (4.0 scale): _____
Test Scores (include at least one): ACT ____
SAT____
TRANSFER STUDENT Academic Information
Name of previous Higher Education Institution: _______________________
Cumulative GPA: _______________________
Public Performance Scholarship Application
Bluegrass Old Time, and Country Music Studies
East Tennessee State University
Total Credit Hours Earned: _______________________
Total Hours in Major: _______________________
Performance Experience - VIDEOS
Links to YouTube videos documenting your performance skills in three different
songs or tunes. See instructions. If you do not wish to use YouTube, you can
send video files using the ETSU dropbox.
Video 1 - Title: ______________________________
URL: ______________________________
Explain which of your performance skills are featured in this recording, and explain
why you chose this piece to perform (100 words maximum).
Video 2 - Title: ______________________________
URL: ______________________________
Explain which of your performance skills are featured in this recording, and explain
why you chose this piece to perform (100 words maximum).
Video 3 - Title: ______________________________
URL: ______________________________
Explain which of your performance skills are featured in this recording, and explain
why you chose this piece to perform (100 words maximum).
Essay
In 200-300 words summarize your experience with bluegrass, old time,
Celtic, and/or country music to date AND explain what you hope to achieve
musically in the future.
Public Performance Scholarship Application
Bluegrass Old Time, and Country Music Studies
East Tennessee State University
Public Performance Scholarship Application
Bluegrass Old Time, and Country Music Studies
East Tennessee State University
ELECTRONIC CERTIFICATION
By entering the date here (MM/DD/YYYY format) I certify that the information
contained in this application is accurate to the best of my knowledge.
__/__/____