Performing Arts Scholarship/Service Award Application

Student Information

First Name*

Middle / Maiden Name*

Last Name*

McNeese Student ID Number

Mailing Address

City

State

Zip Code

E-mail*

Home Phone*

Cellular Phone

Parish / County

Name of Parents or Guardian, if Applicable

What is your primary performance medium [i.e. - major instrument, voice, theatre (acting or technical)]?*

Enrollment Status (Select One):

First-time Freshman

Transfer Student

International Student

Continuing McNeese Student

Former McNeese Student

Are you classified as a resident of Louisiana?*

Yes

Do you plan to live in a dormitory?

Yes

If not already enrolled, What Semester/Year you plan to enroll?

Have either of your parents graduate from McNeese?

Yes

What is or will be your declared Major/Degree while at McNeese?

Name of High School from which you graduated or will graduate.

City

State

Graduation Date

What type of scholarship/service award are you requesting?*

Band Service Award

Choral Service Award

String Service Award

Theatre Arts Service Award

Department of Performing Arts Scholarship (for Music and Theatre majors only)

Indicate any other awards, scholarships or financial aid you are receiving or expect to receive while at McNeese

TOPS Honors

TOPS Opportunity

TOPS Performance

McNeese Academic Scholarship

Honors College

Other (e.g. Athletics)...

Audition Information

Visit https://www.mcneese.edu/performingarts/music-programs-admission-and-auditions for more information on scheduling your audition. While auditions are to be completed in-person and on campus when possible, please email Dr. Lonny Benoit (lbenoit@mcneese.edu) if in need of special accommodations.

This field is hidden when viewing the form

Paste YouTube Link

Other Information

Activities and/or Employment (years of participation in each activity or position):

Honors and Awards Received:

Leadership Positions Held (club president, committee chairperson, etc.):

Please select here if you wish to forward a letter of recommendation.

All letters should be mailed to: McNeese State University Department of Performing Arts Attn: Scholarship Committee Box 92175 Lake Charles, LA 70609

Yes

This information submitted accurately represents my credentials for consideration for service awards/scholarships from the McNeese State University Department of Performing Arts. I authorize the department to verify this information through appropriate means and to release this information to its authorized selection committee. Should I receive a scholarship, I authorize the department to release award information to those persons deemed appropriate. I realize that falsification of any information regarding my credentials may result in loss of awards, refusal of admission or dismissal from the University.

Date

Type in your name to acknowledge that all information on this form is true.