Beth Nickel Memorial String Award – Online Application

Applicant

Name *

First

Last

Address

Address Line 1

City

State / Province / Region

Postal Code

Phone

Email *

Is the applicant over 18

Music Background

Intrument

Highest level completed

Other music education

Music-related experience and activities

Music-related goals

Referring Music Teacher

Teacher Name *

First

Last

Teacher Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Teacher Phone

Teacher Email *

Financial Need

Describe any factors

Describe any factors you wish to include regarding financial need (such as income, family circumstances, expenses, etc.)

Audition Video Recording

Please link your YouTube or Vimeo video - downloads are not accepted.

1 - Title

1 - Composer

2 - Title

2 - Composer

Video Link

Please note - this is not a download but a link to the video - YouTube or Vimeo.