EMS Choir Scholarship Form

Student Name: ___________________________________________________________ Date: ____________________

Parent/Guardian Name: _____________________________________________________________________________

Parent/Guardian Phone Number: ______________________________________________________________________

Parent/Guardian Email: _____________________________________________________________________________

Student participates in: (circle all that apply)

Beginning Choir Mixed Choir Concert Choir Five Star

Scholarship distribution will be subject to the following criteria:

● The scholarship may be applied towards fees associated with Five Star Show Choir, All-State, and/or
Hummingbird Music Camp.
● $300 is the maximum amount allowed for each student to receive in a given school year.
● The actual amount awarded will be determined by the amount available in the scholarship fund and the number of
applicants.
● Demonstrated financial need will be considered.

The scholarship has no cash value. Awarded funds will be applied directly to the student's expenses. Eligibility is based
on the following:
● The student must be in “good standing” as determined by the choir director.
● The student must have a 2.0 GPA or higher for Semester 1.
● Families must submit 1st payment deposits or minimum of 25% of all mandatory choir fees.
● Applications for scholarships must be submitted by the application deadline for each activity.

Please briefly explain the financial circumstances that contribute to your family's need for a scholarship from the
Eisenhower Choir Boosters.

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Please initial:

____ I (student) am aware of the responsibilities associated with receiving a scholarship from the Eisenhower Choir
Boosters.

____ I (parent/guardian) am aware of the responsibilities associated with receiving a scholarship from the Eisenhower
Choir Boosters

The Eisenhower Choir Boosters Scholarship Committee will review each application in a private and confidential manner.
The Eisenhower Choir Boosters will notify the parent/guardian of their decision regarding scholarship via email.

Parent/Guardian Signature: __________________________________________________ Date: ___________________

Student’s Signature: ________________________________________________________ Date: ___________________