Jack Diller Education Award

Scholarship Application

The 2014 Nashville Singers Educator of the Future College Scholarship will be awarded to one successful student residing in Middle Tennessee. This scholarship is intended for a high school senior pursuing a music education degree or a previous scholarship winner continuing his/her studies in music education. All high schools within this vicinity are encouraged to nominate one or more candidates for this prestigious college award.

The recipient will receive a scholarship in the amount of $1,000. Scholarship presentation to our first recipient 2013 grant recipient Kasey Hammond from Michael Collins with Todd Wilson at the McGavock Hendersonville High School performing on High School Annual Band Banquet on May 12, 2012. the Nashville Singers 2013 Season of (Photo by James Dotson) Harmony concert held at First Baptist Church of Donelson on November 23, 2013. (photo by John Jackson)

FIRST NAME:______

MIDDLE NAME: ______

LAST NAME: ______

SOCIAL SECURITY NUMBER: ______

DATE OF BIRTH (MM/DD/YY): ______

STREET ADDRESS: ______

CITY: STATE: ZIP: ______

CONTACT INFORMATION

HOME PHONE WITH AREA CODE: ______

CELL PHONE WITH AREA CODE: ______

E‐MAIL: ______

BEST TIME OF DAY TO REACH YOU? ______

HIGH SCHOOL INFORMATION

CURRENT HIGH SCHOOL: ______NAME OF HIGH SCHOOL COUNSELOR: ______

COUNSELOR’S E‐MAIL ADDRESS: ______

COLLEGE INFORMATION

MAJOR: ______

MINOR (IF APPLICABLE): ______

NAME/LOCATION OF COLLEGE/UNIVERSITY YOU WILL ATTEND, IF NOT SURE WHERE HAVE YOU APPLIED?:

______

WILL ATTEND: ______

LOCATION: ______

APPLIED TO: ______

LOCATION: ______

PLEASE LIST OTHER SOURCES OF FINANCIAL ASSISTANCE, INCLUDING SCHOLARSHIP AWARDS:

Please list any other circumstances you would like us to take into consideration.

Describe your background in music Why do you want to be a music educator?

Student’s Acknowledgement of Eligibility Requirements & Promotional Efforts I certify that the information I have provided the Nashville Singers scholarship committee for consideration of a scholarship is true and correct to the best of my ability. I understand that any false statements or misrepresentation of materials used and submitted to determine my eligibility will automatically disqualify me from consideration. I understand that in the event I am awarded a scholarship, I grant the Nashville Singers permission to use my name or photo and likeness for the purpose of promoting this community outreach program and its results. I understand publicity efforts will require my active participation and may include use of any media outlet, including but not limited to radio, television and print. I understand the Nashville Singers maintain all promotional rights. If I am awarded the scholarship, I understand that I must enroll and attend college by the fall semester of the year following receipt of my award letter. After this period, I recognize that I forfeit my right to the scholarship.

Student’s Signature: ______

Date: ______

Parent/Guardian’s Signature: ______

Date: ______

RETURN COMPLETED APPLICATION, SIGNED ELIGIBILITY REQUIREMENTS & PROMOTIONAL EFFORTS FORM, TWO (2) LETTERS OF RECOMMENDATION (AT LEAST ONE FROM A TEACHER); PEER RECOMMENDATION LETTERS NOT CONSIDERED), OFFICIAL SCHOOL TRANSCRIPT, MUST BE RECEIVED VIA ONE OF THE THREE METHODS SHOWN BELOW.

APPLICATION MUST BE RECEIVED BY MAY 9, 2014.

By US Mail, UPS, or Fedex By Email By Fax

Nashville Singers, Inc. Todd Wilson – Executive Director [email protected] 615-523-8633 3432 Harborwood Circle Nashville, TN 37214

Nashville Singers “Educator of the Future” scholarship applications received will be reviewed by the Nashville Singers board and staff. Recipient will be notified no later than May 31, 2014.