Scholarship Entry Form - Tupelo Elvis Fan Club - Celebrating and Honoring the Life of Elvis Presley

Tupelo Elvis Presley Fan Club

$10,000 SCHOLARSHIP Eligibility Requirements and Application

1st Place = $5000 ~ 2nd Place = $3000 ~ 3rd Place = $2000

You must be a resident of Mississippi and enrolled as a senior at a Mississippi high school and be graduating in 2022.
You must sing, dance, or play a musical instrument and submit a performance video for review by the selection committee by uploading to YouTube (do not mail in DVDs). There is a line below on this form to submit a link to your video.
If chosen as a semi-finalist you will be invited to perform live at the Finale to be held in Tupelo, MS in March or April 2022.
You MUST be able to perform at the Live Finale or otherwise forfeit. (Travel expenses WILL NOT be provided.)
You must be going to attend college, but it is not required that you be enrolled in a musical program. Any Community College or 4-Year University of your choice is acceptable.
You must enter into a contract detailing the Scholarship winnings with the Tupelo Elvis Fan Club.

Important Date

February 14, 2022: Completed applications MUST be submitted using this form by February 14, 2022

Semi-finalists will be notified by email or by a call to the email and/or phone number that you provide on this form.

Finalists will perform in Tupelo, MS. The winner and the two alternates will be selected through a panel of judges. Final judging will be based solely on performance.

If you have questions, please use the contact form at the bottom of this page.

Application: Must be Completed Entirely

1. Today's Date(*)

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2. College You Wish to Attend(*)

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3. County of Residence(*)

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4. First Name(*)

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Last Name(*)

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Date of Birth(*)

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5. Mailing Address(*)

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City(*)

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State(*)

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Zip Code(*)

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6. Email Address(*)

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7. Telephone inc/Area Code(*)

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Phone Type(*)

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Mobile

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Other Phone inc/Area Code

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8. Name of High School(*)

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Mailing Address(*)

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City(*)

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State(*)

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9. High School Counselor(*)

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Counselor Phone(*)

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10. List any honors, awards, and extracurricular activities in which you have participated. Include any leadership roles and special recognitions pertaining to your musical interests (If none please enter "none")(*)

Please list awards/honors or enter "None".

List the name, telephone number, and email address of parent or guardian if you are under the age of 18.

11. Parent/Guardian Name

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Email Address

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12. Are there any special or unusual problems or circumstances of which the selection committee should be aware? (If none please enter "none")(*)

Line 12: Please list any problems or enter "None".

Please provide a link to your YouTube video here. Your video should NOT exceed 10 minutes and must include the following:

a. A short introductory of yourself and why you feel you should win the scholarship.

b. Performance (singing, dancing, or playing a musical instrument) of ONE song of your choice.

c. Performance (singing, dancing, or playing a musical instrument) of ONE Elvis song of your choice.

13.Your YouTube Video Link(*)

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14. Attach a Current Picture of Yourself (jpg)(*)

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15. Please tell us how you received your information about the scholarship availability(*)

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Applications will not be reviewed unless all information requested is received. If, for some reason, your performance video cannot be located on YouTube you will be contacted within 3 (three) days and asked to provide another link. Your failure to then provide a working link (URL) would cause your application to be withdrawn. All applications and performance videos received by the deadline will be reviewed by the selection committee.

If you are under the age of 18 a parent or guardian must sign below. I certify that the information I am submitting is true and accurate.
By typing your name in the blank space beside or underneath "Your Electronic Signature" you are legally responsible for the information you have entered and are submitting on this form.

Your Electronic Signature(*)

Signature missing: Please read about electronic signature and type your full name in the signature area.

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