Merit Scholar Recipient Information Form - Omaha Conservatory of Music

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As a recipient of an Omaha Conservatory of Music scholarship, we ask that the student recipient please take a moment to fill out the following questionnaire. We will also need a picture or headshot of the student to include in the program for the Scholar Showcase – which you can upload via the form below. Questions? We’re happy to help! Email us at marketing@omahacm.org

“*” indicates required fields

"*" indicates required fields

Student First Name*

Student Last Name*

Contact Email*

Parent/Guardian Name*

Student Date of Birth*

How long have you studied music & what instruments have you studied? Please list instrument and years of study next to it.*

What summer camps and/or extra musical activities do you participate in beyond your individual lesson?*

Please list all awards and accolades you've won pertaining to your music education*

What's your favorite practice tip?*

Who is your favorite composer and why?*

Upload Headshot/Student Image

Max. file size: 300 MB.

Please upload a headshot or image of your student smiling and looking at the camera. Preferred orientation is vertical. If you've been a Merit Scholar in the last two academic years - we already have your headshot on file - no need to upload a new one unless you have an updated image. Questions? Email us at marketing@omahacm.org

Anything else we should know or you'd like to add?

Name

This field is for validation purposes and should be left unchanged.

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