SPAACSE -- Serrie Scholarship Application

SPAACSE Galaxy Music Scholarship Application

Print this application out, fill it in, and send it as described on the SPAACSE -- 2003 Galaxy Music Scholarship information page

Your Name
Street Address
City, State, Zip Code
Phone	( )
Fax	( )
E-Mail
School Name
School Street Address
School City, State, Zip Code
School Phone	( )
School Student Affairs E-Mail Contact

SPAACSE reserves the right to use your original music composition for organization events, productions, fundraisers and projects such as the Galaxy Music Scholarship. You will be credited for all use and notified if we intend to feature your music in our activities.

I, ________________________________, certify that _______________________(title of work) is my own original composition and mine alone. I give permission for SPAACSE to use this composition without monetary compensation, as long as I am credited for the work.

Signed: ____________________________________________________Witness:________________________________________

Date: ________________

Judging: A distinguished panel of composers from the music community will be selected to review the compositions. Winner will be announced in Fall 2003.

The winner of the SPAACSE Galaxy Music Scholarship shall receive publicity in the SPAACSE newsletter, via the SPAACSE web page, and at SPAACSE events. The winner's school, city newspapers, and television stations; major space organizations, NASA, and national music publications/organizations shall also be notified.

Contact: SPAACSE, 2023 N. Atlantic Avenue #233, Cocoa Beach, FL 32931
E-mail: scholarships@stars4space.org