Collegiate Scholarship Application First Name * Last Name * Middle Address * City * State * Zip * Home Phone Cell Phone Email * A copy of your completed form will be sent to this address as well as any future correspondence. U.S. Citizen? * Yes No Social Security Number * Institution where scholarship will be applied OMC member contact and relationship OMC member phone Name of school now attending School I.D (if applicable) Name of school or continuing education program planning to attend Current Year in School * High School Senior College Year Freshman Sophomore Junior Senior List High Schools and Colleges Attended Activities: List any awards, honors, scholarships, etc. you have received Work Experience (if applicable) List all work experience in which you have participated, whether or not related to singing or music. Briefly outline your occupational goals (musical or otherwise) Briefly outline your educational objectives (musical or othwise). Resources What resources and plans do you have for financing your education? Include any financial aid you have been rewarded, family funding, loans, work plans, etc. CERTIFICATION I hereby agree that applicant is applying for a grant from the Orpheus Scholarship Program and that all information in this application is true and accurate to the best of my knowledge. I further agree that if an award is made, I will use it entirely for the purposes specified in the grant award. I acknowledge that all award funds will be distributed to my selected institution and made available in accordance with their dispersal process and the grant stipulations. Grant money will NOT be issued directly to the awardee and any exception will require unanimous approval from the Orpheus Board of Directors. I hereby agree that during the term of my award and for one year thereafter, any performance by me in conjunction with The Orpheus Male Chorus of Phoenix will be uncompensated unless otherwise agreed to by normal board action and that, in any case, Orpheus will retain all rights of use of any such performance in perpetuity. Signature Clear A copy of your completed application will be emailed to you when you SUBMIT your application. Submit Application If you are human, leave this field blank.