Queen’s Community Music Award for Youth
2016 Application
The Queen’s Community Music Award for Youth Fund was established in November
2009 through the generous support of a private donor. Now in its seventh year, the fund
will offer up to fifteen scholarships in varying amounts to students for private music
instruction in orchestral string instruments and piano during the 2016-17 academic year.
Please consult the following guidelines for eligibility and application requirements.
Eligibility:
 Awards are available to students of orchestral string instruments (violin, viola,
cello, bass) or piano.
 Students must be under age 25 at the time of application.
 Applicants must be enrolled in private lessons at Queen’s Community Music
during the 2015-16 year.
 Applicants’ accounts at QCM must be in good standing at the time of application.
 Recipients of the award must register for a private lesson package of at least 23
lessons at Queen’s Community Music during the 2016-17 year.
 Winners of the 2015 awards must fulfill the registration and performance
requirement in 2015-16 in order to be considered for the award in 2016-17.
Application:
 Complete applications should be submitted to Karma Tomm, Director, by 4 pm
on Friday June 17, 2016 at Harrison LeCaine Hall. Incomplete applications will
not be considered.
 Student must submit the following pages included with this document:
o Completed Application form
o Completed Teacher recommendation form
Determination:
Recipients will be selected by a committee overseen by the Director of Queen’s
Community Music.
Distribution:
 5 awards @ $500 each to cello students
 2 awards @ $250 each to cello students age 10 and under
 5 awards @ $500 each to violin/viola/piano students
 3 awards @ $250 each to violin/viola/piano students age 10 and under
 All applicants will be notified by July 15, 2016 in advance of the Fall registration
period. Awards will be applied as tuition credit for private lessons during the
2016-17 year, pending receipt of student’s registration documents.
 Award recipients agree to perform in at least one QCM student recital during the
2016-17 year.
Queen’s Community Music
Tel: 613-533-2934
Harrison-LeCaine Hall
Fax: 613-533-6808
Kingston, ON, K7L 3N6
community.music@queensu.ca
Queen’s Community Music Award For Youth
2016 Student Application
Student’s Name
_______________________________________________
Age
_____________ Date of Birth
Address
_______________________________________________
Telephone
_______________________________________________
Instrument
_______________________________________________
Teacher
_______________________________________________
_________________
The recommendation from my teacher is submitted: with this application _____
By my teacher directly _____
How many years have you studied your instrument?
How many years have you studied with your current teacher?
Do you play other instruments? _____ If yes, please list____________________
List your solo performances in 2015-16 (at QCM, Canada Music Week, Kiwanis, Library
series, school, etc).
List any musical awards, scholarships, or special recognitions you received in 2015-16
(Kiwanis, Rotary, school, etc)
Have you received this award in past years? ______ If so, please check which year(s):
Queen’s Community Music
Tel: 613-533-2934
Harrison-LeCaine Hall
Fax: 613-533-6808
Kingston, ON, K7L 3N6
community.music@queensu.ca
2011 ☐
2012 ☐
2015 ☐
2013 ☐
2014 ☐
Write a reflective statement that includes (but is not limited to) the
following:
1.
2.
3.
4.
How studying your instrument influences your daily life
In addition to private lessons, list other musical activities you are involved in
Your musical goals for the next year
How this award will benefit you
THIS MUST BE WRITTEN BY THE STUDENT IN HIS/HER OWN WORDS
(submission may be typed or hand-written).
If you submit a separate sheet of paper, make sure your name and the date are clearly
visible.
SIGNATURE OF STUDENT______________________________ DATE ___________
SIGNATURE OF PARENT (if student under 18)________________________________
Queen’s Community Music
Tel: 613-533-2934
Harrison-LeCaine Hall
Fax: 613-533-6808
Kingston, ON, K7L 3N6
community.music@queensu.ca
DATE ___________
Queen’s Community Music Award For Youth
2016 Confidential Teacher Recommendation
Name of Applicant ___________________________________________
How long has the applicant studied with you? ______________________
Describe the applicant’s commitment to musical study, work ethic, and progress on
his/her instrument during the past year. Why do you feel this student should receive an
award? Please discuss any aspect of the applicant’s technical, musical or personal
development that you would like us to consider. All information will be treated
confidentially.
Teacher’s Signature_________________________________ Date________________
Queen’s Community Music
Tel: 613-533-2934
Harrison-LeCaine Hall
Fax: 613-533-6808
Kingston, ON, K7L 3N6
community.music@queensu.ca
Queen’s Community Music
Tel: 613-533-2934
Harrison-LeCaine Hall
Fax: 613-533-6808
Kingston, ON, K7L 3N6
community.music@queensu.ca