JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Imagine Jazz Scholarship Application
A limited amount of scholarships may be available for our workshops and classes. Use this form to apply for a scholarship for one of our workshops email any questions to
rachel@imaginejazz.org
Sign in to Google
to save your progress.
Learn more
Name
Your answer
Instrument
Your answer
Age/Grade Level
Middle School
High School
College Student
Adult community member
Adult professional musician
Other:
Clear selection
Which workshop or class are you applying for?
Your answer
Tell us about yourself and your playing experience and your musical goals?
Your answer
What is a reasonable family/personal contribution you can afford?
Your answer
Are you willing to volunteer, or work trade in exchange for your scholarship?
Yes
No
Maybe
Other:
Clear selection
What are you hoping to gain from this experience, and how will participation in this workshop help you and your musical goals?
Your answer
What else should be know about you?
Your answer
what is your preferred form of contact?
Email
Phone
Mail
Clear selection
phone number
Your answer
address
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
