Charles O. Gordon Memorial Scholarship Form Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutPhone *Email *EmailConfirm EmailLayoutApplicant's Age *U.S. Citizen? *YesNoHouse of Gordon Membershipif applicableHouse of Gordon MembershipQualifying Member NumberQualifying Member NameFirstLastRelationship to ApplicantField of InterestField of Interest *PipingDrummingHighland DanceFiddleHeavy AthleticsGaelic LanguageOther (please specify below)choose oneOther Field of InterestAdditional InformationAre you a member of a performing group? *YesNoPlease provide name of group and location.List any awards received in competition, with date and place, or attach below.Would not receiving assistance prevent you from attending a Scottish arts school/obtaining tuition? *YesNoIt would make it difficult.Attach a picture of applicant and one page (or less) essay about yourself and why you wish to receive a House of Gordon Scholarship. * Click or drag files to this area to upload. You can upload up to 2 files. Submit