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PLEASE PRINT THIS FORM BY
HIGHLIGHTING FROM THE TITLE TO THE END,
THEN CHOOSING PRINT SELECTION FROM THE FILE MENU
DO NOT FILL OUT ONLINE
Deadline for
application is Saturday, January 24th,
2009.
CONCERTO COMPETITION APPLICATION FORM
Must be signed by Parent or Guardian
STUDENT
NAME
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Date
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Address
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Birthdate
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County
of Residence
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City
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State
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Zip
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Phone
(area code)
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e-mail:
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Father’s Name
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Phone
(home)
(area code)
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Address
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Phone
(work)
(area code)
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City
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State
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Zip
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Mother’s Name
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Phone
(home)
(area code)
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Address
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Phone
(work)
(area code)
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City
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State
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Zip
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INSTRUMENT
for competition
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SCHOOL INFORMATION
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School
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| Current grade point
average ____ |
Please
circle grade level: 10
11 12 |
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Current
instrument teacher(s)
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Band
Director Name
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Phone
(work)
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Phone
(home) |
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How long
have you studied with this teacher?
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| Private
Teacher Name |
| Phone
(work) |
Phone
(home) |
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How
long have you studied with this teacher?
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How
long have you been studying music?
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How
long have you studied this instrument?
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List 3
pieces you have studied recently:
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Composition
Name
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Composer
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1.
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2.
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3.
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List
awards, achievements you have received, particularly in music:
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Description
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Year
Received
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List
all past musical studies (other instruments, music courses, etc.)
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Description
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School
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Year(s)
Studied
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What
are your plans for future music study, including college?
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By signing this form,
I signify that the information on this application is correct. |
| Student’s Signature
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Signature of Parent or Guardian
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| Date
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Date
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