Kappa Kappa Psi
Northeast District Music Education
Awareness Award
Application
Instructions: Submit
this completed application to the Member-at-Large by February 28th, 2008.
Chapter: ___________________________________________
School: ____________________________________________
Contact Person: ______________________________________
Address: ____________________________________________________________
____________________________________________________________
(City) (State) (Zip code)
Phone: _________________________ E-mail: ______________________________________
On attached sheets:
Describe the service projects to primary or secondary music education in which your chapter has been involved.
_________________________ _______________________
Chapter President’s Chapter Sponsor’s
Signature Signature
Return Completed Form to:
Northeast District Member-at-Large
Jackie Blinke
82 E. Padonia Rd Apt #203
Timonium, MD 21093