City Music Summer Scholarship (Student)

How did you hear about this opportunity?

Please select... Friend Parent Teacher Social Media Website Other

Affiliation

Please select... No Affiliation Blue Hill Music Clubhouse, Boys & Girls Club, Dorchester, MA Brockton Clubhouse, Boys & Girls Club, Brockton, MA Charlestown Studio Clubhouse, Boys & Girls Club, Charleston, MA Dorchester Music Clubhouse, Boys & Girls Club, Dorchester, MA ETEC Music Studio Clubhouse, YMCA, Malden, MA Hyde Square Task Force Music Clubhouse, Jamaica Plain, MA Jordan E-Music Clubhouse, Boys & Girls Club, Chelsea, MA Lawrence Music Clubhouse, YMCA, Lawrence, MA Lowell Music Clubhouse, Boys & Girls Club, Lowell, MA Mattapan Teen Center, Boys & Girls Club, Mattapan, MA Methuen Music Clubhouse, YMCA, Methuen, MA Movement City Youth Network, Lawrence, MA Sociedad Latina Music Clubhouse, Mission Hill, MA South Boston Music Clubhouse, Boys & Girls Club, South Boston, MA Waltham Studio Clubhouse, Boys & Girls Club, Waltham, MA West End House Music Clubhouse, Boys & Girls Club, Allston, MA Yawkey Music Clubhouse, Boys & Girls Club, Roxbury, MA Zumix, East Boston, MA

Student's First Name

Student's Last Name

State

Please select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

City

Student's Grade

Please select... 9 10 11 12 (and applying to Berklee College of Music for the fall semester) 12 (and will NOT be applying to Berklee College of Music for the fall semester)

Student's School Affiliation 

Please select... Boston Public Schools Lawrence Public Schools Somerville Public Schools Other - Charter School Other - METCO Program Other - Public School Other - Private School

Student's Phone Number

Student's PULSE ID (if applicable)      

Student's Instrument

Please select... Acoustic Bass Acoustic String Alto Saxophone Banjo Baritone Horn Baritone Saxophone Bass Clarinet Bass Trombone Bassoon Cello Clarinet Drum Set Electric Bass Electronic Digital Instrumment Flute French Horn Guitar Hand Percussion Harp Mandolin Marimba Oboe Percussion Piano Soprano Saxophone Steel Pan Tenor Saxophone Trombone Trumpet Tuba Vibes Viola Violin Voice

Please list any other email addresses you may have used to communicate with Berklee in the past (we will use this to make sure we have a complete view of your Berklee experience).

Student's Email (This is the email address Berklee will use for communications. List a preferred email address, which is regularly checked.)