Irish American Heritage Catskills Irish Arts Week Scholarship Application
Application for a scholarship for O'Flaherty's Irish Music Retreat alums to attend Catskills Irish Arts Week
Sign in to Google to save your progress. Learn more
Applicant First Name *
Applicant Last Name *
Applicant Birthdate *
MM
/
DD
/
YYYY
Street Address *
Address Line 2
City *
State / Province / Region *
Zip / Postal Code / Eircode *
Country *
Required
Applicant Email *
Applicant Phone Number *
Primary Instrument Played *
How many years? *
Prior schools, academies, camps, retreats. places of instruction, teachers of Irish culture/music/heritage. *
100 Word Description of Why You Are a Suitable Candidate for This Scholarship *
Check All That Apply *
Required
Today's date *
MM
/
DD
/
YYYY
Electronic Signature 
(By typing full name, applicant expressly consents to signing this application electronically).
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Irish American Heritage Museum.

Does this form look suspicious? Report