Charles O. Gordon Memorial Scholarship Form

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Layout

Phone *

Email *

Email

Confirm Email

Layout

Applicant's Age *

U.S. Citizen? *

if applicable

House of Gordon Membership

Qualifying Member Number

Qualifying Member Name

First

Last

Relationship to Applicant

Field of Interest *

choose one

Other Field of Interest

Are you a member of a performing group? *

Please 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? *

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.