The 2024 Application

First Name

Last Name

Date of Birth

MM/DD/YYYY

Address

City

State

Zip Code

Email

Phone Number

I am a citizen or legal resident of the United States of America.

To the best of my knowledge, I am NOT related to any member of the Frances Blaisdell Scholarship Committee.

School/College

City

State

Grade Level for the academic year 2023-2024

I am enrolled as a full‐time student at the school or college listed above.

Flute Performance Experience (select all that apply)

Flute Performance Awards Received

Please LIST all awards

Repertoire Included on Application Recording

Video Recording Youtube Link

If needed, place an additional Video Link here

1st Reference: Name

1st Reference: Email

1st Reference: Title/Position

Example: Associate Professor of Flute at XYZ University

2nd Reference: Name

2nd Reference: Email

2nd Reference: Title/Position

Example: Associate Professor of Flute at XYZ University

Submit