125 PECAN GROVE DRIVE
ABERDEEN, NC 28315
Tel: 910-944-3452
moorephilorch@aol.com
mporchestra.com
Your hometown community orchestra helping develop students for the world’s stages
Scholarship Application
To be considered for a scholarship, please provide all of the following:
1. Complete application with attachments submitted to the Moore Philharmonic Orchestra by:
THURSDAY, MARCH 19, 2015 AT 6:30 P.M.
2. Typed, 1-page statement, written by the applicant, addressing the following:
a) Reason for scholarship application; b) Applicant’s active interest in the arts; c) Applicant’s educational goals.
3. Copy of applicant’s most recent official report card or transcript.
4. Two (2) sealed letters of reference with application; 1 academic, 1 music related
[non-relatives]
5. All applicants should prepare to audition on April 16, 2015 at Sandhills Community College if
deemed necessary by the Executive Board. Applicant will be notified of times.
6. The Executive Board has final decision in distributed awards.
Please fill out the form completely and print.
1. Name _________________________________________________________SS#______________________
Last
First
M.I.
(Required to receive funds)
2. Mailing Address_________________________________________________________________________
City
State
Zip
3. Phone ________________________________ Email _____________________________________________
4. � Male � Female Age_______ Grade_______ School___________________________________________
5. Instrument _______________________________ Years of Study _____ _____________________________
6. Private teacher ______________________________Phone____________E-mail_______________________
7. Funds are sought for: � Music Camp
[Applied: � Yes � No
Accepted: � Yes � No/Pending]
�Private lessons
� Other:
8. Exact amount of scholarship money requested: $__________________
9. List any extracurricular activities, honors and awards to be considered:
__________________________________________________________________________________________
__________________________________________________________________________________
10. Provide any additional information that will help the panel in reviewing your scholarship needs:
__________________________________________________________________________________________
__________________________________________________________________________________________
125 PECAN GROVE DRIVE
ABERDEEN, NC 28315
Tel: 910-944-3452
moorephilorch@aol.com
mporchestra.com
Your hometown community orchestra helping develop students for the world’s stages
Academic Recommendation Form
The student named below is applying for the Moore Philharmonic Orchestra Music Scholarship. Your
recommendation is very important in evaluating how the applicant’s qualifications meet the goal of the program:
To assist music students with a demonstrated talent and career interest in the arts improve and expand their skills
through lesson, music camps, or other activities. After you complete the recommendation form, please enclose it
in a sealed envelope with your signature over the flap and return to the applicant before the scholarship
deadline: Thursday, March 29, 2015 at 6:30 p.m.
If you have any questions, please call Eric Kopecky at 910-944-3452.
This section to be completed by the APPLICANT:
Name of APPLICANT: ______________________________________________________________________
Reason for applying for scholarship: ____________________________________________________________
This section to be completed by the writer of the REFERENCE:
Name:______________________________ __________________________Phone ______________________
Address:___________________________________________________________________________________
Street
City
State
Zip
How long have you known the applicant? ______________ In what capacity are you familiar with the applicant’s
artistic background?___________________________________ _______________________________________
Please use this form to comment on any aspects of the applicant’s artistic background, experiences, community
involvement, etc., that you feel will help the scholarship panel evaluate the applicant. You may also use a separate
sheet of paper if you need additional space.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Reference Signature _______________________________________________ Date ______________
125 PECAN GROVE DRIVE
ABERDEEN, NC 28315
Tel: 910-944-3452
moorephilorch@aol.com
mporchestra.com
Your hometown community orchestra helping develop students for the world’s stages
WWW.MPORCHESTRA.COM
Music Related Recommendation Form
The student named below is applying for the Moore Philharmonic Orchestra Music Scholarship. Your
recommendation is very important in evaluating how the applicant’s qualifications meet the goal of the program:
To assist music students with a demonstrated talent and career interest in the arts improve and expand their skills
through lesson, music camps, or other activities. After you complete the recommendation form, please enclose it
in a sealed envelope with your signature over the flap and return to the applicant before the scholarship
deadline: Thursday, March 19, 2015 at 6:30 p.m.
If you have any questions, please call Eric Kopecky at 910-944-3452.
This section to be completed by the APPLICANT:
Name of APPLICANT: ______________________________________________________________________
Reason for applying for scholarship: ____________________________________________________________
This section to be completed by the writer of the REFERENCE:
Name:______________________________ __________________________Phone ______________________
Address:___________________________________________________________________________________
Street
City
State
Zip
How long have you known the applicant? ______________ In what capacity are you familiar with the applicant’s
artistic background?___________________________________ _______________________________________
Please use this form to comment on any aspects of the applicant’s artistic background, experiences, community
involvement, etc., that you feel will help the scholarship panel evaluate the applicant. You may also use a separate
sheet of paper if you need additional space.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Reference Signature _______________________________________________ Date ______________