(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 ________________

Mailing Address________________________________________________________________________
E-Mail Address_________________________________________________________________________
Parent/Guardian Name___________________________________________________________________

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 April 15, 2023 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

School Principal

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 2022. I recommend him/her for the Jazz In The Arts Foundation Music Scholarship.

Principal’s Signature______________________________________________________     Date__________________

Music Teacher

(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 Jazz In the Arts Foundation Music

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:    chesterdaigle@aol.com
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.

Scholarship Application

Jazz Music Scholarship

2023 Application