TRIPLE STAR ACHIEVEMENT AWARD APPLICATION

Student/Parent Information

Student First Name *

Student Last Name *

Student Date of Birth *

Student Email Address *

Name of High School *

Month and Year of Intended High School Graduation *

Year Studying Piano *

Years Performing in PTC Events *

School(s) Applying to *

Earliest College Application Date *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Teacher Information

First Name *

Last Name *

Phone Number *

Email Address *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Eligibility

First Eligibility Event *

Second Eligibility Event *

Third Eligibility Event *

I understand my application is not complete until I submit the scans of programs for all three of the above eligibility events. Please be sure to email your program scans to PTC.triplestar@gmail.com

In 200-300 words, please explain how performing in PTC events has impacted your growth as a pianist and musician. You may choose to focus on one recital, multiple events, and/or a teacher that has influenced you. *

Piano Teachers Congress of New York, INC

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