Thank you for your interest in the NEPP Mentoring Program! Please make sure you review the complete program guidelines and complete the form below.

Upon submitting the form, you will be taken to a page to make your payment. Once you arrive there, please select “Mentorship Program Application Fee” at the top of the page and fill out the information that appears. Call (570) 270-4444 with any questions.

    Applicant Information

    Full Name*
    Address*
    City*
    State*
    Zip*
    Grade (as of September 2020)*
    Age*
    Email*
    School Name*
    City*
    County*
    Instrument*
    Did you ever audition for this program in the past?* YesNo
    Do you play another instrument(s)?* YesNo
    If yes, which instrument(s)?
    Do you wish to be considered for a scholarship based on financial needs?* YesNo
    If YES, please fill out the Financial Aid application on our website.

    Other Contact Information

    Please supply the contact information of a parent as well as any private teacher you may have.
    Parent Name*
    Parent Email*
    Teacher Name
    Teacher Address
    Teacher Email

    Audition Selections

    Video submissions must be received at nepamentoring@gmail.com by Sunday, September 27, 2020.
    Audition selection 1*
    Composer*
    Audition selection 2*
    Composer*

    Signatures

    Please review the Mentoring Program Guidelines before submitting your application.
    Student Signature*
    Date*
    Parent Signature*
    Date*