Beth Nickel Memorial String Award – Online Application

Name *

First

Last

Address

Address Line 1

City

State / Province / Region

Postal Code

Phone

Email *

Is the applicant over 18

Intrument

Highest level completed

Other music education

Music-related experience and activities

Music-related goals

Teacher Name *

First

Last

Teacher Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Teacher Phone

Teacher Email *

Describe any factors

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

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.