Southwest Michigan Chapter of the American Guild of Organists

Katy Loew Scholarship application form

Fields marked with an * are required

A scholarship may be requested either for college credit or to cover the registration fee for a Pipe Organ Encounter.

Your first name
Your last name
Your street address
The city you live in
Any US state or Canadian province
5-digit or 9-digit, or Canadian postal code
Please enter your email address.
Please enter your telephone number.
Your organ teacher's first name
Your organ teacher's last name
Please select the type of scholarship you're applying to receive.
Select the date for your application. Defaults to today's date.
Check all that apply.

If all of the above fields look correct, use the SEND APPLICATION button to email us your application.
You may reset the form and start over by using the RESET FORM button.