(Please print application and mail in.)

Submit Application Materials to:

The Chester Daigle Jazz Music Scholarship
c/o Patricia Daigle and Jazz In The Arts Foundation
1303 Mayo Street
Lake Charles, LA 70601


Part I  Applicant Information:     To be completed by applicant and parent

Name ___________________________________________________    Date of Birth ________________

Mailing Address________________________________________________________________________
 
E-Mail Address_________________________________________________________________________
 
Parent/Guardian Name___________________________________________________________________

Home Phone_______________________________         Cell Phone_______________________________
 
Other Contact Numbers__________________________________________________________________

What High School do you attend? __________________________________________________________

What Instrument/Voice will you audition on? ___________________________________________________
 
Where will you attend college? _____________________________________________________________

What is your planned major? ______________________________________________________________


I have read and am familiar with the Chester Daigle Jazz Music Scholarship and I understand that all materials must be received by March 31, 2016 to be eligible for consideration. All application submissions are accurate and complete to the best of my knowledge.


Applicant Signature____________________________________________      Date___________________
 
Parent/Guardian Signature_______________________________________       Date__________________
 



Part II  School Information:    To Be Completed by High School Administration

School Principal

I hereby certify that the applicant is enrolled as a student at_________________________________________
High School and is in good standing with the school and will graduate in Spring 2016. I recommend him/her for the Chester Daigle Jazz Music Scholarship.



Principal’s Signature______________________________________________________     Date__________________
 


Music Teacher

(If the school does not have an established music program, this may be completed by the applicant’s private music teacher or school principal)

I hereby certify that the applicant is a member of (music program)___________________________________
in good standing and has my recommendation for The Chester Daigle Jazz Music
Scholarship.



Music Teacher’s Signature_________________________________________    Date__________________
 


Grade Point Average

I Hereby Certify the applicant’s cumulative grade point average is: ______________________
 
Please forward student transcript to the above address under separate cover.



School Official’s Signature__________________________________________  Date__________________
 



Part III: Audition Information

Name of jazz standard you will perform:

Please E-mail audition video / link to:    chesterdaigle@aol.com
 
Make sure to include the following when submitting application:
• Completed application form with signatures of applicant, parent/guardian, principal, and music teacher.
• One Page Resume (See Scholarship description)
• Recent Photograph (See Scholarship description)
• Please have your school mail official transcript under separate cover.


Scholarship Application

The Chester Daigle Jazz Music Scholarship

2016 Application