Student's Consent Agreement (Category #2 only)
This consent agreement is for the scholarship affiliated with SMEA- Student Evaluation Program.

Application period: May 15-31 of the current year

All supporting documents and files must be sent by the candidate to the Coordinator in one organized email by May 31.

Coordinator:
Chiung-yin Cheng Liu
chiungyin@aol.com
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Scholarship Recipient's Name *
Recipient's Mailing Address *
The scholarship recipient (and, if the recipient is under the age of 18, the parents of the recipient) gives permission to the Shore Music Educators Association (SMEA) to use photographs or videos of the recipient with appropriate captions in SMEA publications, website, social media or newspapers for the purpose of promotion for Shore Music Educators Association. *
Recipient's Electronic Signature (Full name) *
If the scholarship recipient is under the age of 18, a parent or guardian must fill out and sign the section below:
Parent/Guardian's Name
Parent/Guardian's Mailing Address
Parent/Guardian's Electronic Signature (Full Name)
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