To apply for the Schubert Club Scholarship Competition please fill out the form below, and proceed to the payment page. Your application is not complete until payment is received.

Your Name (required)

Your Email (required)

Address (required)

City, State & Zipcode
Applicants must be a resident or enrolled in a learning situation within the 5-state region: MN, WI, SD, ND or IA (required)

Best Phone Number to Reach You (required)

Birthdate (format as: MM/DD/YYYY)(required)

School (required)

Grade Level (required)

Teacher Full Name (required)

Teacher Address, City, State, Zip (required)

Teacher Phone (required)

Teacher Email (required)

Pianists

Please select your level

Selection 1

Composer & Title (required)

Time Period (required)

Movement, Number & Tempo (if applicable)

Selection 2

Composer & Title (required)

Time Period (required)

Movement, Number & Tempo (if applicable)

Selection 3

Composer & Title (required)

Time Period (required)

Movement, Number & Tempo (if applicable)

Please explain any scheduling issues and concerns as well as any additional information about your application here

Please indicate how you will be paying the $45 application fee (on the following step) (required)