Youth Ambassador Scholarship Application "*" indicates required fields Part 1 –Scholarship General InformationApplication Date* Month Day Year Student (Applicant) Information:Name*Age*Birth Date* Month Day Year Grade*GPA*(proof will be required if awarded)School*Instrument*Music Teacher*Please indicate here if you would also like to be considered for the Juilliard Online Extension Class Scholarship:* Yes No Please provide contact information for at least one parent or guardian:Name*Relationship*Phone*Email* Mailing Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Have you ever received a Music in the Mountains Scholarship before?* Yes No Have you ever participated in any other Music in the Mountains Goes to School programs?* Yes No If yes, which programs?Electronic Signature - Parent* I agree to the use of an electronic signature.By typing your name below, you are agreeing that the above information is correct and accurate, and are consenting to the use of an electronic signature.Parent Name (first and last)*Electronic Signature - Student* I agree to the use of an electronic signature.By typing your name below, you are agreeing that the above information is correct and accurate, and are consenting to the use of an electronic signature.Student Name (first and last)*Part 2 – Private Lesson Scholarship EssayPlease upload a short 1-2 page essay in which you tell us at Music in the Mountains a little bit about yourself, why you chose your instrument, and why you should be selected as a Music in the Mountains Youth Ambassador Scholarship recipient.Upload Your File*Accepted file types: pdf, doc, docx, Max. file size: 256 MB. Part 3 – Private Lesson Scholarship Teacher Recommendation**To be completed by students private music instructor OR school music teacher. Please upload the final recommendation here, or have the teacher send to abeach@musicinthemountains.com. Please write a recommendation about the student in which you assess their motivation, talent, discipline, experience, and anything else that you think may help the Music in the Mountains Education Committee make its decision concerning this student. Keep in mind the students will need to supply their own transportation to lessons. Recommendations must be submitted on or before November 30, 2025. Failure to return recommendation will result in an incomplete application.Upload Your FileAccepted file types: pdf, doc, docx, Max. file size: 256 MB. Part 4 – Audition VideoPlease provide a 3 to 5 minute audition video of yourself playing your instrument. You may choose any genre of music you wish to exhibit your musical talent. The video does not have to be professional quality, but should be clear and audible. This is your opportunity to shine and show us your love and passion for music. Videos may be uploaded as an mp4 file or YouTube or Vimeo link may be shared.Upload Your FileAccepted file types: mp4, Max. file size: 256 MB. Share a YouTube or Vimeo link
