CAP Creative Strings Application * READ CAREFULLY: This is a serious endeavor that requires attendance EVERY Monday. Consider this carefully BEFORE applying. Student’s and parent’s or guardian's digital signatures below and the submission of this application confirm that each have read and understand this and that OVERALL schedules can accommodate a FULL commitment. Student's Digital Signature* First Last Parent's or Guardian's Digital Signature* First Last Student's First Name* Student's M.I. Student's Last Name* Parent's or Guardian's First Name* Parent's or Guardian's Last Name* For which CAP Creative Strings group are you applying?*CAP Creative Strings ICAP Creative Strings IICAP Creative Strings IIIHome Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Telephone*Parent's or Guardian's Cell Phone*Student's Email Address* Enter Email Confirm Email Parent's or Guardian's Email* Enter Email Confirm Email School's Name*School Music Teacher*School Music Teacher's Email* Enter Email Confirm Email School Music Teacher's Phone Number*School Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Grade in 2020-2021 School Year*When is the student's birthday?* MM DD YYYY Does the student have any disability of which we should be aware in order to best serve the student? ALL INFO REMAINS CONFIDENTIAL.*YesNoIf yes, please describe fully below.*What instrument does the student play?*How long have you played your instrument?*Does the student have access to his or her instrument for consistent practice at home, as well as rehearsals and performances?YesNoDoes the student take weekly, private lessons on his or her instrument.*YesNoCAP Ensemble students are required to have weekly, private lessons on their instrument with a bona fide instructor. You may apply for CAP Saturday Music Classes to study your instrument. Apply at https://communityartsprogram.org/music-classes/application/.Private Teacher's Name*Private Teacher's Phone*Private Teacher's Email* Why does the student want to participate in CAP Creative Strings?*Is the applicant a NEW or RETURNING student?NewReturning from 2019-20 (no audition required)Please list the title and composer of the pieces with which the student is auditioning:*How long has the student been playing his or her audition piece(s)?*Will the student have transport to and from rehearsals?*YesNoList current AND anticipated activities (school & other) with days & times of involvement. Include ALL school, after-school, extra-curricular and family activities that will demand the student's time.The membership fee is $350 upon acceptance. Is the student in need of a scholarship (i.e., an amount of $350 or less)?*Yes (Note: If “yes,” each parent or guardian who claims the student will be required to submit the most-recent Tax Form 1040 and two most-recent paystubs.)NoWhat amount, $0-$350, can the parent or guardian pay?*Parents or Guardians: Please UPLOAD BELOW your most-recent Tax Form 1040 AND two most-recent pay stubs from EACH parent or guardian AND from whomever claims the student for tax purposes. BELOW ARE FOUR FILE BLOCKS. (If possible, combine all--tax forms and pay stubs--into one file, and upload to one, below FILE block.) ALL INFO REMAINS CONFIDENTIAL.*FileFileFileIN THE BOX BELOW, briefly outline your need and provide helpful comments that support your need. All information is strictly confidential. Please use this area to indicate any additional info. for scholarship consideration. PARENTS' NOTE: Students' success hinges on parents' encouragement and interest in their child's learning and personal growth. A commitment to consistent weekly attendance is key to this. Additional field trips (i.e. concerts and performances) will be a part of this program. Continuation in CAP is based on consistent, weekly attendance, behavior, and satisfactory growth within the program.I give permission to use my child's name, photograph and/or performance recordings (including audio and/or video forms) in brochure, web, and other promotional materials. Parent's or Guardian's Digital Signature* First Last Date* Date Format: MM slash DD slash YYYY