Ukulele Scholarship Application Form

We are very pleased that you would like to apply for the Cutie Circle Ukulele Scholarship. This scholarship provides ukuleles to help the recipients further their ukulele journey and passion.

The ukuleles in this scholarship program are results of Cutie Circle’s community involvement and outreach activities. We acknowledge the support from the following generous partners:

Coquitlam Retired Teachers Association
Donna Brearley
Douglas Park Community Centre
Killarney Community Centre
Lulu Island Strummers
Stephanie Clark

Please help us get to know you by completing the application form below.

First Name of Student(required)

Last Name of Student(required)

Email Address(required)

Phone Number(required)

Street Address(required)

When did you start playing the ukulele?(required)

How will this ukulele scholarship benefit you?(required)

Do you own a ukulele?(required)

Yes No

First Name of Nominator

Last Name of Nominator

Phone Number of Nominator

Email Address of Nominator

Reasons for Nomination

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