Online Scholarship Application

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* = Required Fields

First Name: *

Last Name: *

Birth Date: *

Address: *

City: *

State: *

Zip: *

Phone: *

Email: *

Current School:

High School Graduation Date:

Name of Conductor:

Primary Instrument or Vocal Range:

Years of Study:

Name of Private Instructor:

Secondary Instrument or Vocal Range:

Years of Study:

Name of Private Instructor:

Intended Major:

Have you made application to the University for Admissions? Yes No

Have you made application to the University for Financial Aid? Yes No

Pieces you will perform at the audition:

Title/Composer:

Preferred Dates:

MUSIC DEPARTMENT
Fr. Gary Uhlenkott, S.J.
Chair, Music Department
502 E. Boone Avenue
Spokane, WA 99258-0079
Phone: (509) 313-6731
(800) 986-9585, ext. 6731
Email: uhlenkott@gonzaga.edu
www.gonzaga.edu/music