DESTINY PERFORMING ARTS INC.
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Destiny Live Center for the Performing Arts Scholarship

Application Form


Please Type or Write Clearly

  Biographical Questionnaire (Please type) A.     You, the Nominee Legal name in full

LAST___________________________________________________________________________________________________________________

FIRST__________________________________________________________________________________________________________________

M.I.___________________________________________________________________________________________________________________

Permanent Residence

STREET AND NUMBER_____________________________________________________________________________________________________

CITY___________________________________________________________________________________________________________________

STATE_________________________________________________________________________________________________________________

ZIP CODE_______________________________________________________________________________________________________________

(Permanent residence is established by at least two of the following: home address for school registration; place of registration to vote; family’s primary residence.)

If you are selected as a scholar, you will receive notification by mail.

BEST TELEPHONE _______________________________________________________________________________________________________

BEST EMAIL ADDRESS ___________________________________________________________________________________________________

ARE YOU:         I HAVE BEEN ADMITTED

What graduate degree, if any, do you plan to pursue?  ____________________________________________________________________________



 1. Beginning with the school you currently attend, list all schools you attended in the last four years, including any for summer or special courses. You will have space to list 4 schools.

SCHOOL_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

LOCATION_____________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
DATES ATTENDED_______________________________________________________________________________________________________

GPA/GPA SCALE______________________________________________________________

 
2. List any awards, honors, or scholarships you have received in the past four years. Please list in descending order of significance.  You will have space to list up to 6 awards.

NAME_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DATE__________________________________________________________________________________________________________________

DESCRIPTION_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


 
D.  Your Programs and Activities

1. List any programs and activities in which you have participated on campus or in your community while in school (such as clubs, publications, debate, dramatics, music, art, student government…). Please list in descending order of significance.   You will have space to list up to 5 college activities and 4 high school activities.

COLLEGE ACTIVITY____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DESCRIPTION/OFFICE HELD_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DATES PARTICIPATED__________________________________________________________________________________________________________________________________________________________________________________________________________________________________

HIGH SCHOOL ACTIVITY____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. List internships, assistantships, and jobs (including summer employment) you have held in the past four years. You will have space to list up to 4 employers.

 JOB AND KIND OF WORK (SUMMER/SCHOOL YEAR)

EMPLOYER___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DATES OF EMPLOYMENT___________________________________________________________________________________________________________________________________________________________________________________________________________________________________

HOURS PER WEEK___________________________________________________________________________________________________________________



3. List public service and community activities.  Do not repeat items listed previously.  Please list in descending order of significance. You will have space to list 4 activities.

ACTIVITY_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ROLE__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DATES__________________________________________________________________________________________________________________

#WEEKS________________________________________________________________________________________________________________

4. What additional information (not already addressed in the application) do you wish to share with the Destiny Live Center Music Scholarship review committee? (Limit 1100 characters with spaces)
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E. Essay (Please attach.)In 800 words or less, discuss a significant impact on your field of study, interests, and career goals. 

Please submit application to Destiny Live Center for the Performing Arts

Destiny Live Center for the Performing Arts @The Hive CTS
 1000 W 42nd St.
Indianapolis, IN 46208


For Information Contact Priscilla Bolden 317-222-0187

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  • Home
  • About Us
  • Programs
  • Just Talk
  • Workshops & Seasonal Programs
  • Contact Us
  • Scholarships
  • Sponsors