2025 Scholarship Application

Note submitting this application requires a $40 non-refundable fee!

Please do NOT submit any more high-school piano applications - at this point we only accept undergraduate and graduate piano applications!
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Birth Date*
Date Format: MM slash DD slash YYYY
Are you a previous scholarship winner?*
- Yes
- No
In which instrument/category did you win previously?
Instrument*
Please enter your instrument name, or voice.
Current school*
Music director's name and contact info*
Private instructor's name and contact info*
Your school level*
Repertoire*
Please list your competition repertoire. Include titles, composers, lengths and any other relevant information (opus #, key, etc.)
Photo ID*
Please attach an electronic scan of your Georgia Drivers License or Georgia school ID.
Name of the camp or school you plan to attend*
Please enter the name and location of the camp or school you plan to attend using scholarship award funds.
Method of payment (choose one)*
- $40 online donation via our website
- $40 online payment via Zelle
- $40 check via US postal mail
Click here for more information!
Consent to store application data*
- I am at least 18 years old and grant consent
The student must be at least 18 years old in order to grant consent. If they are under 18 years old, then a parent/guardian must complete this application. Checking this box attests that you are of adult age and hereby grant us permission to store this form's information on our web server. A copy of this information will be automatically transmitted via email to our Scholarship chair for evaluation. We will delete this form's information from our web server no later than May 1, 2022.
Competition rules agreement*
- I am at least 18 years old and fully agree
The student must be at least 18 years old in order to grant agreement. If they are under 18 years old, then a parent/guardian must complete this application. Checking this box attests that you are of adult age, and hereby attest that all information is correct, and agree that the student will abide by the rules of the competition and accept the judge's decision as final.
Applicant identification*
- I am the applicant who is at least 18 years old
- I am a parent/guardian of an applicant under 18 years old
For student applicants under the age of 18 years old, the parent/guardian must complete this application. Please indicate above who is completing this application.
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Phone
This field is for validation purposes and should be left unchanged.

If you have any questions please e-mail us at Scholarships@AtlantaMusicClub.org.

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