Apply — Boogie Woogie Bob Peters Scholarship

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1 Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Street Address *

City *

State *

Zip Code *

Date of Birth *

Parent / Guardian Name

2 Academic Information

High School Name *

Graduation Year *

Cumulative GPA *

Class Rank (if available)

College / University Accepted To *

Intended Major / Field of Study *

Other Scholarships or Awards Received

3 Musical Background

Primary Instrument(s) *

Years Playing *

Music Teachers / Instructors *

Music Groups, Ensembles, or Organizations * List all music groups you have participated in during high school.

Notable Performances or Competitions

Connection to the Blues * This scholarship honors the legacy of Boogie Woogie Bob Peters and the blues tradition in Kalamazoo.

4 Personal Statement

Essay * 300–500 words recommended.

How Did You Hear About This Scholarship?

5 References

Please provide the name and contact information for at least one music teacher or director who can speak to your musical abilities and character. The committee may contact them directly.

Reference #1 *

Name *

Relationship *

Email *

Phone

Reference #2 (Optional)

Name

Relationship

Phone

6 Certification & Submission

I certify that all information provided in this application is accurate and complete to the best of my knowledge. * I confirm that I am a graduating senior who has been accepted to a college or university and have been active in music programs throughout high school. * I give KVBA permission to contact my references regarding this application.

Fields marked * are required. Your application will be emailed directly to the KVBA scholarship committee.

"Boogie Woogie" Bob Peters ScholarshipApplication

"Boogie Woogie" Bob Peters Scholarship
Application