Community Foundation of Dunn County

Drums Along the Red Cedar

Music Camp Scholarship Program

The Community Foundation of Dunn County is pleased to offer students in Dunn County the opportunity to apply for scholarship funding to help cover tuition for a summer music camp of their choice, up to $500.

This scholarship is made possible through the Drums Along the Red Cedar Fund, which is managed by the Community Foundation of Dunn County. The Drums Along the Red Cedar Drum & Bugle Corps Competition began in 2000 as a project of the Menomonie High School Band Booster organization. The Drums competition ended in 2009, but the proceeds from the event have been put into a Youth Music Endowment Fund at the Community Foundation to provide funding for music scholarships and initiatives in Dunn County.

The camp must be licensed and provide specific music instruction. Scholarships are paid directly to the camp unless otherwise approved by the Community Foundation of Dunn County, Inc.

Applicants should apply early and request funding to cover their unpaid camp fees, rather than seek reimbursement from the camp for fees that have already been paid. A direct tuition reimbursement may result in income tax liability and is the responsibility of the applicant or parents, as may be applicable.

·  Applicants must be students of a middle school or high school in Dunn County.

·  Applicants must submit a completed Application Form and a signed letter of recommendation from their current music instructor.

·  Applicants must include a copy of their completed camp registration form, including proof of any payments made to date, and a brochure or other official information describing the camp program details.

·  Preference will be given to applicants with demonstrated financial need, as provided on their application.

Submit completed applications and related materials at least (8) weeks prior to the scheduled camp to:

Community Foundation of Dunn County

PO Box 498

500 Main Street #322

Menomonie, WI 54751

For questions or more information call 715.232.8019 or e-mail

Applicant Information:

Name

Last First Middle Initial

Mailing Address

County of Residence School Name

E-mail Home Telephone

Gender Date of Birth

Name of Music Camp: ______

Name of School/Organization Offering the Camp:______

Camp Mailing Address:______

Camp Date(s):______Total Cost of Camp:______

Amount Paid To Date:______Scholarship Amount Requested (not to exceed $500): $______

_____ I have attached the following required materials:

ð  A copy of my camp registration and camp information materials (brochure, etc.)

ð  Proof of any payments made to date

ð  A signed letter of recommendation from my current music instructor

Financial Need (Optional): Preference will be given to students with demonstrated financial need.

Does your family currently qualify for any state or federal low-income assistance programs, such as FoodShare, Free/Reduced School Lunch, Wisconsin Home Energy Assistance, etc.? __ Yes __ No

You may also attach a short statement describing your financial need and/or special circumstances.

I certify that the information provided in this application is complete and accurate to the best of my knowledge. I understand that falsification of information will result in termination of any scholarship granted. I certify that I have read the instructions and will comply with all requests for documentation. Should I receive a scholarship, I will notify the Community Foundation of Dunn County (CFDC) of any change of plans. The CFDC may use my name and likeness in publicity materials relating to the Foundation. I understand the CFDC scholarships may only be used toward the published cost to attend qualified camps specifically designed for music education.

Applicant Signature (Required) Date

If applicant is under the age of 18, please provide contact information and signature of a parent or legal guardian:

Printed Name:______Phone:______

______

Parent/Guardian Signature (Required if Applicant is under 18) Date

Community Foundation of Dunn County │ 500 Main St., Suite 322 Menomonie, WI 54751│715.232.8019

www.cfdunncounty.org