All forms and payment must be mailed and postmarked by the deadline date: Chamber Music - April 15, 2010. Please do not contact Scripps College. All Institute queries must be made through the Institute office.
Chamber Music Workshop
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STUDENT INFORMATION
First Name_____________________________ Last Name ______________________________________
Sex: M F Date of Birth___________________ Age (on 7/18/10) _______
Parent ______________________________________ Phone______________________
Address_____________________________ City____________________ State_______ Zip_____________
Email_________________@__________________
Status (check one): ___ I am applying as an individual
___ I am applying as part of an ensemble Please list the names of other ensemble members.
1.____________________________ 2. ____________________________ 3.____________________________
INSTRUMENT Current piece studied:______________________ Composer__________
Orchestra experience________________________________________________________________________
Pieces previously performed in Chamber Ensemble:________________________________________________
__________________________________________________________________________________________
Sight Reading Ability: Suzuki book level____ Other (specify) _________________________________________________________________
Included with this application is my required audition videotape (VHS or DVD fomat)_____
NOTE-DO NOT SUBMIT THIS APPLICATION WITHOUT AN AUDITION TAPE.
T-Shirt adult size (circle only one) S M L XL
___________________________________ ____________________________________
Teacher’s Name (please print) Teacher’s Signature (verify that Book & Piece # are correct)
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