Apply for your music scholarship from Backstage Clothing.

APPLY FOR YOUR SCHOLARSHIP

Complete the fields below and submit to be considered for a music scholarship.

	First and last name:	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

	Gender:	Male Female Date of birth: A value is required.Invalid format. Age: A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.

	Email address	A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.

	Name or organization:	Minimum number of characters not met.Exceeded maximum number of characters.

	Address:	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

	City:	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

	State:	A value is required.Minimum number of characters not met.Exceeded maximum number of characters. Zip code: A value is required.Invalid format.

	Home phone:	A value is required. Cell phone: A value is required. Work phone:

	Please choose one:

	How do you give back?	Exceeded maximum number of characters.A value is required.

	What is your mission?	Exceeded maximum number of characters.

	Who belongs to your organization?	Exceeded maximum number of characters.

	How do you serve others?	Exceeded maximum number of characters.

	What instruments do you play?	A value is required.Minimum number of characters not met.Exceeded maximum number of characters. How many years have you been playing? A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

	Are you in a band?	Yes No

	What style of music do you play?	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

	What is your shirt size?

	Please provide a link to your Facebook page	Invalid format.

	Please provide a link to your Twitter page	Invalid format.

	Please provide a link to your MySpace page	Invalid format.

	Please provide a link to your website	Invalid format.

	Why should Backstage provide you with a scholarship?	A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

	Before your application will be considered, you must add us as a friend on Facebook. Click here to visit the Backstage Clothing Facebook page and send your friend request.