Friends In Art Scholarship Form
YOU ARE
INVITED TO APPLY FOR
THE FRIENDS IN
ART SCHOLARSHIP
A $1,500.00 scholarship offered annually
for achievement, talent, and excellence in the arts.
If you are planning to, or are currently
majoring in the field of music, art, drama, or creative writing, and are a
blind or visually impaired student, you may apply for this scholarship.
note: Legal
blindness is defined as an individual who has a visual acuity of 20/200 or less
in the corrected eye and/or
20 degrees or
less visual field in the corrected eye. Individuals who are legally
blind in BOTH eyes are eligible to receive this scholarship.
Please return this application along with
the materials requested to:
Harvey Miller
196 East
French Broad St.
Brevard, NC
28712-3410
Name:_____
Address:_____
City:_____ State:_____
Zip:____
Home telephone:____
Telephone: (at
which you most easily can be reached)
Name of high
school or college currently attending: High school______ College_____
Graduation
date:_____
Major:_____
If music (what
instrument or what type of voice)_____
List
significant information you wish regarding your experiences in your field of
study in high school and/or college. (honors, awards, etc. briefly describe)
Other material required:
Music and drama: Along with this application you must send a
tape with your performance of two works of contrasting nature. (In music it could be a fast and a slow
piece. In drama one presentation should
be dramatic and the other comic.)
In art slides of ten of your works should
be submitted for appraisal by the committee.
In creative writing examples of your work
are required.
In addition to these items, the selection
committee will contact you for a personal interview.
Please include a letter of reference from
a current or recent teacher in your field od study.
Name:_____
Address: ___
City: ______
State: _____ Zip: ______
phone: ______
Enclosed with
your application, there should be a letter from your family physician or
professional worker in the blindness field stating your visual acuity.