Music Major/Minor Performing Arts Scholarship Application

All fields marked with an asterisk (*) are required.

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Name:*

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CID (if applicable):

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Phone Number:*

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Mailing Address:

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Permanent Address:

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Email:*

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Are you a U.S. Citizen?

Yes

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Residency Status:

Texas Resident

Resident of another state

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What is your High School name and address?

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What is your class rank:

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What is the class size?

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What is your expected Graduation Date:

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Please list Academic honors, awards, achievements and special talents or abilities:

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Reference

Provide the name and address of the reference whom you have requested to send a confidential evaluation letter to support your application. The accompanying confidential evaluation letter must be submitted by a teacher, counselor or administrator connected with the institution where you are currently enrolled or have been enrolled in the last 12 months. It is your sole responsibility to have the confidential evaluation letter and any other supporting information related to this application sent directly to the Visual & Performing Arts Department, ASU Station #10906, San Angelo, TX 76909.

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Consent*

I understand the information provided in this application will be used in consideration for the Performing Arts Scholarship or other appropriate scholarship award, and is correct to the best of my knowledge. I hereby waive my right to inspect and review the confidential evaluation letter(s) provided by the above designated reference or other recommendations which I request to be submitted in support of my application. I also understand and agree that the decision made by the university regarding my application will be final and that all application materials submitted shall become the property of Angelo State University.

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