CAP MJI Jazz Ensemble Application* READ CAREFULLY: This is a commitment 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.Student's Digital Signature* First Last Parent's or Guardian's Digital Signature* First Last How or from whom did you learn about the Community Arts Program (CAP)?* For which CAP Jazz Ensemble are you applying? CAP MJI Jazz PREP Band CAP MJI ALL-STAR Jazz EnsembleStudent's First Name* Student's Last Name* Student's Date of Birth (mm/dd/yyyy)* Month Day YearParent's or Guardian's First Name* Parent's or Guardian's Last Name* Relation to Student (e.g., father, mother, grandparent, etc.)*Student's Primary Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Telephone*Parent's or Guardian's Cell*Parent's or Guardian's Email* Enter Email Confirm Email Student's CellStudent's Email* Enter Email Confirm Email Student's School*Grade in 2023-24 School Year*Student's 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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 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 Phone Number*School Music Teacher's Email* 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 their 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 their 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 Email* Enter Email Confirm Email Private Teacher's Phone Number*Why does the student want to participate in a CAP MJI Jazz Ensemble?*Does the student have access to their instrument for consistent practice at home, as well as at rehearsals and performances?* Yes NoIs the applicant a NEW or RETURNING student?* New Returning from 2022-23 (No audition required.)Please list the title and composer of the piece(s) with which the student is auditioning:When did the student begin preparing the required audition piece(s)?*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