Click here to go to Chipola's Home Page

Music Scholarship Application

(at this time we are only accepting applicants from the United States)
General Information
Today's Date:
Full Name:
City: State: Zip:
E-mail Address:
Home Telephone: Cell Phone:
Date of Birth:
Musical Background
Instrument or Voice
Number of years of study:
Name of teacher recommending:

 List Repertoire you have covered to include Technical Studies, Vocalizes, Solo Literature, etc. include Programs of recital performances if you have them.

List the selections that you wish to perform at the audition. (Voice and Band Instrument Applicants must provide their own accompanists. )
Make a brief statement regarding your professional goals in music:
Educational Background
Do you have a high school diploma? If so, from where?
School Graduation Year City: State:
Guidance Counselor:
College(s) attended:     Year(s):
Current GPA: SAT Score: ACT Score:
Are you employed now/will you need to work while at Chipola?
Have you applied for any type of Financial Aid?
If so, explain:
Briefly list any previous employment experience:
In what other outside activities or groups do you participate?
List any honors or awards you have received:


Print a copy of this application for your records.  After submitting this application yaou should receive an automated response confirming

the receipt of the application.  Within two weeks you should receive an email with specific audition information.  If you do not receive

audition information within two weeks of your application, contact



Back to Music Scholarships

 Fine and Performing Arts Homepage

Member of The Florida College System 3094 Indian Circle | Marianna, FL 32446 | Phone: (850) 526-2761 | Email Us