Jenn Werner Stipend Nomination Form
Members of MTAM may use this form to nominate themselves or another member of MTAM who is facing significant hardship to receive financial support from our Jenn Werner Fund.

You will be notified of the board's decision via email and checks will be mailed to the nominated member via the address provided on this form.

If you have questions please contact the MTAM president at  
Sign in to Google to save your progress. Learn more
About the Jenn Werner and the Jenn Werner Stipend:

Jennifer’s passion resided in the arts. She attended the University of Minnesota Twin Cities and received her Bachelors of Arts in Music Therapy. Alongside working full time, she gigged with jazz bands including the Adam Meckler Orchestra, and played in classical ensembles including the Encore Wind Ensemble. People who have had the honor of playing with her or have listened to her play, know that she could slay a bass trombone part in a rockin’ jazz tune then turn around and create beautiful classical music as part of an orchestra. She possessed a musical talent that we all could appreciate, and quite frankly, be jealous of.
As much as music was a part of her life, her attributes far exceeded her musical talent. She was a wife, a daughter, a sister, a dog mother, a colleague, an aqua-scaper, a remodeler, a liberal advocate, and a friend to so many. Her personality, sense of humor, opinions, drive, and thoughtfulness will be greatly missed as we are left here to comprehend the loss of a truly beautiful person.

The funds from the Jenn Werner stipend are used for MTAM members that are facing significant hardship.
Your Name (First and Last): *
Nominee's Name (if not you):
Your Email Address: *
Nominee's Email Address (if not you):
Mailing address where check should be sent, if awarded: *
Are you a current MTAM member *
If you are nominating someone other than yourself, are they a member of MTAM?
Clear selection
Has the person you're nominating been awarded another scholarship from MTAM this calendar year? (applicants who have not yet received a scholarship will be considered first) *
Please describe your nominee's hardship (to ensure a blind review, please leave out any identifying information such as name of employer) *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy