Clan Johnston/e in America

Scholarship Application

Scholarships are offered by Clan Johnston/e in America to assist those studying Scottish arts and academics. All branches of music, dancing, athletics and studies are eligible areas of study. The Scholarship Committee will be guided by the applicant's need, objectives, commitment, demonstrated proficiency, anticipated development and goals when granting awards.

Scholarships are intended to support special, one-time or unique activities such as participating in short workshops, traveling to competitions out of your home area or attending music camps. Therefore requests for support in routine matters such as individual lessons, purchase of clothing and equipment or travel to local events will not be considered.

Recommendation by a current teacher, advisor or sponsor is required. No application will be considered without such a recommendation.

PLEASE PROVIDE THE FOLLOWING PERSONAL INFORMATION

Name: ________________________________________________________________

Mailing address: ________________________________________________________

City: _____________________________ State: ______________ Zip: _____________

Phone: (______) ______-___________ Email: ________________________________

Are you a full time student?   Yes __ No __

School attending: _____________________________________

Your area of study or performance: _________________________________________

_____________________________________________________________________

How long have you been training or studying? _________________________________

At what level or grade are you now classified? _________________________________

What is your immediate objective? __________________________________________

_____________________________________________________________________

How much assistance are you requesting? ____________________________________

For what purpose will you use the grant, if awarded? ____________________________

_____________________________________________________________________

_____________________________________________________________________

Name, Address and fees for the program you plan to attend or participate in.

Name of Program: _______________________________________________________

Address of Program: _____________________________________________________

City: ______________________________ State: ______________ Zip: ____________

Name and phone number of program's contact:

Name: ____________________________________ Phone: (_____)______-________

Total cost or fees for program: $__________________________

Dates you plan to attend or participate: ___________________________

Date payment is required: ______________________________

Additional information that will assist the Committee to determine your qualifications for an award:





Include a program brochure, if available. Please enclose a photograph of yourself performing or other evidence of your studies or activities. Write a short description of yourself and why you think you should be awarded a scholarship. Include your long-term objectives or goals.





Applicant’s Certification: If Awarded A Scholarship Grant I Will, To The Best Of My Ability, Do What is Implied By Its Acceptance And I Will Submit To The Scholarship Committee A Short Written Report Of My Experience.

Signed: _______________________________________ Date: ___________________

Signature of Parent or Guardian (If a minor) ___________________________________