CAP Miami Jazz Institute (MJI) Jazz Ensembles Application

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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 Ensemble

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 State ZIP Code

Home Telephone*

Parent's or Guardian's Cell*

Student's Cell

Parent's or Guardian's Email*

Enter Email Confirm Email

Student's Email*

Enter Email Confirm Email

School Name*

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 Country

Grade in 2019-2020 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
No

If 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
No

Please list the instrument(s) on which the student doubles.*

Does the student take weekly, private lessons on his or her instrument?*

Yes
No

Private teacher's name*

Private teacher's e-mail*

Enter Email Confirm Email

Private teacher's phone number*

If no, apply for CAP Saturday Music Classes to study your instrument. You may apply at https://communityartsprogram.org/music-classes/application/.

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
No

When did the student begin preparing the required audition piece?*

Will the student have transport to and from rehearsals?*

Yes
No

List 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 will be required to submit the most-recent Tax Form 1040 and two most-recent pay stubs.)
No

Parent or Guardian: Please UPLOAD HERE your most-recent Tax Form 1040 AND two most-recent pay stubs from EACH parent or guardian responsible for the student. ATTACH BELOW. ALL INFO REMAINS CONFIDENTIAL.*

File

What amount, $0-$400, can parent(s) or guardian(s) pay?*

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*

CAP MJI Jazz Ensemble Application