(Fields in red are required) (Do not print this page, please use the submit button) First Name Last Name Address1 Address2 City State/Province Zip/Postal Country Email Important! Home Phone xxx-xxx-xxxx Age Parent's name* *Required if under 18 years of age. Application catagory Piping History Folklore Scottish Dance Drumming Gaelic Art/Literature Other Are you a descendant of Clan MacInnes? (If uncertain leave the no box marked) No Yes Are you a current member of the International Association of Clan MacInnes? No Yes - If yes how many years?
Total scholarship request amount (U.S. dollars) $ Please describe the scholarship request, giving names and addresses of instructors, schools, workshops. If there are multiple fees and financial requests involved, please break them down here. Please tell us why you are deserving, and any about yourself, your studies, your ancestry or any other information. . ^^^^^^^^^^^^ on the next page