COMMUNITY FOUNDATION for MUSKEGON COUNTY

Alfonso Loera Music Scholarship Application

Applicant Appraisal


Applicant Section - PLEASE PRINT WITH BLACK INK OR TYPE



A music instructor, band director, high school counselor, a college advisor, an instructor, a professional person, or a supervisor must complete this appraisal.

Applicant's Name:_______________________________ Phone Number:_________________________

Address:_______________________________________________________________________________

APPRAISER Section:

With limited funds available, your appraisal will be most important to this applicant. Please give it your immediate and serious attention.

A. Period of time you have known the applicant:_____________________________

B. How well do you know the applicant? Very well _______ Fairly well _______ Limited contact _______

C. Please answer the following questions based on your knowledge of the student.

1. Has this applicant demonstrated positive school and community citizenship? Yes _____ No ______

2. Do achievement or performance records reflect this applicant's musical ability or aptitude?

Yes _____ No ______

If you answered "NO" to any of the above questions, please explain:

______________________________________________________________________________________________

______________________________________________________________________________________________

D. Describe your knowledge of the applicant's musical aptitude or experience.

______________________________________________________________________________________________

______________________________________________________________________________________________

E. Unusual circumstances or factors, which you feel, warrant special attention (including financial):

______________________________________________________________________________________________

______________________________________________________________________________________________

Appraiser's Signature________________________________ Appraiser's Title_______________ Date________

Date School, Business, Organization, etc._______________________________ Telephone_______________

Address_______________________________________ City___________________ State________ Zip___________