CAP MJI Jazz Ensemble Application * READ CAREFULLY: This is a serious endeavor that requires attendance EVERY MONDAY, SATURDAY, and ALL PERFORMANCES. 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 For which CAP Jazz Ensemble are you applying? CAP MJI Jazz PREP Band CAP MJI ALL-STAR Jazz EnsembleHow or from whom did you hear about this Program?* Student's First Name* Student's Middle Name Student's Last Name* Parent's or Guardian's First Name* Parent's or Guardian's Middle Name Parent's or Guardian's Last Name* Home 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*Student's CellParent's or Guardian's Email* Enter Email Confirm Email Student's Email* Enter Email Confirm Email School Name*Is the student enrolled in a Miami-Dade County Public School (M-DCPS)?* Yes NoEnter below the student's M-DCPS ID#*School Music Teacher*School Music Teacher's 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 2022-23 School Year*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.* Yes NoIf yes, please describe fully below.*What instrument does the student play? (If saxophone, in preference order indicate soprano, alto, tenor, and/or bari.)*How long has the student played his or her instrument?*Does the student double on an instrument?* Yes NoPlease list the instrument(s) on which the student doubles.*Does the student take weekly, private lessons on his or her instrument?* Yes NoCAP 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 e-mail* Enter Email Confirm Email Private teacher's phone number*Private Teacher's Name*Private Teacher's Phone*Private Teacher's Email* Enter Email Confirm Email Why does the student want to participate in a CAP MJI Jazz Ensemble?*Does the student have access to his or her instrument for consistent practice at home, as well as rehearsals and performances?* Yes NoIs the applicant a NEW or RETURNING student?* New Returning from 2021-22 (No audition required)When did the student begin preparing the required audition piece?*Will the student have transport to and from rehearsals?* Yes NoList 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 $400 upon acceptance. Is the student in need of a scholarship (i.e., an amount of $400 or less)?* Yes (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 pay stubs.) NoWhat amount, $0-$400, can parent(s) or guardian(s) pay?*Parents or Guardians: ALL of the following items MUST be uploaded below for scholarship consideration: (1) Most-recent Tax Form 1040 from EACH Parent or Guardian (unless filed jointly); (2) Two most-recently-dated pay stubs from EACH parent or guardian. ALL INFO REMAINS CONFIDENTIAL.*Max. file size: 300 MB.FileMax. file size: 300 MB.FileMax. file size: 300 MB.FileMax. file size: 300 MB.IN 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* MM slash DD slash YYYY