Name:          DOB
Address: 
If under 18, Name of parents 
                Address of parents

 Area of Interest

Piping  Drumming  Harp  Dancing  Gaelic  Robert Burns Other (specify)
 School/Workshop to which you are applying
 Program


 Itemize funds requested; i.e., tuition, living expenses, lessons, books.

Please provide two (2) letters of reference (one must be from your instructor or someone who is familiar with
your work; i.e., Band Drum Major, Pipe Major, Dance Instructor, etc., and submit an essay to include the following: 
Why I need financial help; My Goals; and Scottish Heritage interests.

Date   Signature

Scholarship Application Award Guideline:   Print application form and send to Scottish Heritage Society, c/o Win Pattison, P.O. Box 182, Old Mystic, CT  06372.  Application must be received by May 1st.  Distribution of awards will be conferred at the Rhode Island Scottish Highland Festival.

Accountability:   The scholarship recipient will be asked for a written report of their experience:  the report to be sent to Scottish Heritage Society, c/o Win Pattison, P.O. Box 182, Old Mystic, CT  06372.

Eligibility:   Scholarship applications are open to any person regardless of residence or national origin