Frances Blaisdell Scholarship Application

First Name

Last Name

Date of Birth

MM/DD/YYYY

Address

City

State

Zip Code

Phone Number

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

Yes

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

Yes

School/College

City

State

Grade Level for the academic year 2024-2025

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

Yes

Flute Performance Experience (select all that apply)

Solo Performance

Chamber Performance

Large Ensemble

Competitions

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

Applicant Essay

Reference: Name

Reference: Email

Reference: Title/Position

Example: Associate Professor of Flute at XYZ University

Letter of Recommendation