Nomination Form – Arizona Musicfest Scholarship for Summer Programs

Nominating Organization/Individual Information
Name of Person filling out this form*
First Last
Organization:*
Position / Title*
Student Information
Student Name*
First Middle Last
Parent/Guardian Name*
First Middle Last
Contact Phone Number*
Contact Email*
Home Mailing Address*
Street Address Address Line 2 City State ZIP Code
Current Grade (2024-2025)*
Instrument*
# of Years Playing Instrument*
Summer Program Information
Program Name*
Program Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Program Website*
Program Dates (Planned Attendance)*
Total Out-of-Pocket Cost for Student*
Personal Statement
Please list any musical activities the student is currently participating in or has participated in.*
Why are you nominating this student?*
Acknowledgements
Attestation*
By checking this box and upon submission of this application I affirm that, to the best of my knowledge, the information provided on this application is accurate and factual.

Nominating Organization/Individual Information