(Please print application and mail in.)
Submit Application Materials to:
The Chester Daigle Jazz Music Scholarship ($1,000) and The Jones Jazz Scholarship ($500)
c/o Patricia Daigle and Jazz In The Arts Foundation
1303 Mayo Street
Lake Charles, LA 70601
Part I Applicant Information: To be completed by applicant and parent
Name ___________________________________________________ Date of Birth ________________
Home Phone_______________________________ Cell Phone_______________________________
Other Contact Numbers__________________________________________________________________
What High School do you attend? __________________________________________________________
What Instrument/Voice will you audition on? ___________________________________________________
Where will you attend college? _____________________________________________________________
What is your planned major? ______________________________________________________________
I have read and am familiar with the Jazz Music Scholarship and I understand that all materials must be received by March 31, 2019 to be eligible for consideration. All application submissions are accurate and complete to the best of my knowledge.
Applicant Signature____________________________________________ Date___________________
Parent/Guardian Signature_______________________________________ Date__________________
Part II School Information: To Be Completed by High School Administration
I hereby certify that the applicant is enrolled as a student at_________________________________________
High School and is in good standing with the school and will graduate in Spring 2019. I recommend him/her for the Chester Daigle Jazz Music Scholarship.
Principal’s Signature______________________________________________________ Date__________________
(If the school does not have an established music program, this may be completed by the applicant’s private music teacher or school principal)
I hereby certify that the applicant is a member of (music program)___________________________________
in good standing and has my recommendation for The Chester Daigle Jazz Music Scholarship.
Music Teacher’s Signature_________________________________________ Date__________________
Grade Point Average
I Hereby Certify the applicant’s cumulative grade point average is: ______________________
Please forward student transcript to the above address under separate cover.
School Official’s Signature__________________________________________ Date__________________
Part III: Audition Information
Name of jazz standard you will perform:
Please E-mail audition video / link to: firstname.lastname@example.org
Make sure to include the following when submitting application:
• Completed application form with signatures of applicant, parent/guardian, principal, and music teacher.
• One Page Resume (See Scholarship description)
• Recent Photograph (See Scholarship description)
• Please have your school mail official transcript under separate cover.
Jazz Music Scholarship