Band of Gold Application

First Name

Last Name

Name of Parent or Guardian

Address (Line 1)

Address (Line 2)

City

State

AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware DC - District of Columbia FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME - Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VA - Virginia WA - Washington WV - West Virginia WI - Wisconsin WY - Wyoming N/A - Not Applicable

Zipcode

Phone

( ) - -

Email

High School

Intended Major

Anticipated Date to Begin at MGCCC (Semester/Year)

Intended campus:

Note - All students attending JC or JD are responsible for their own transportation to the Perkinston Campus.

Instrument(s)

Guard/Perkette : Please list what instruments/areas you are applying for.
Euphoniums: specify treble or bass clef.
Percussion: specify instruments in order of playing ability.
Guard: please also list what instrument you play (if applicable).

To receive and maintain a Service Scholarship, the undersigned student hereby aggress to the following –

Read the following information carefully before you sign this application.

1. To attend all preparatory rehearsals and sectionals.

2. To attend and perform all scheduled public performance activities.

3. To schedule classes, work and other activities so as not to conflict with the scholarship activities.

4. To work alone when necessary to improve talents, techniques and routines in a completely acceptable manner for performance before the public.

5. To care for and maintain all school-owned equipment (including uniform) checked out by me, and to return same in proper condition when requested to do so.

(NOTE: Failure to return any equipment by the end of the semester when requested will (1) result in the student’s grade reports being held; (2) prevent transcripts and other notices of satisfactory withdrawal from being sent to other institutions; and (3) prevent the student from registering at MGCCC.)

6. To work in assigned area during the period of the scholarship.

7. To abide by school and band policies.

8. To pay all deposits and fees prior to band camp.

I have read and understand the above scholarship requirements and will abide by them in order to receive and maintain a scholarship.

Signature

(By entering your name in this box, you agree that this substitute will serve as your signature)