APPLICATION FOR BAND CAMP OR SPECIAL TUTORING

Name_________________________________________________

Address _______________________________________________

City ____________________ State ____ Zip _________________

Telephone ____________________ Email ___________________

Age ________ Grade in School ____________________________

1. What instrument do you play?

2. How long have you been playing?

3. Can you sight-read music? Yes ___ No ___

4. Are you currently taking music lessons? Yes ___ No ___

If yes, who is your teacher? _________________________________

5. How much time do you spend practicing each day? _______________

6. Do you play with a group? Yes ___ No ___ If yes, describe:

7. How important is music, compared to other things you like to do? Explain.

8. Would you feel comfortable auditioning for our committee, perhaps by sitting in with the Mission Gold Jazz Band? Yes ____ No _____

9 If you are given the grant, which would you prefer to do?

a. Attend jazz band camp ______ (Transportation to and from the camp is available to you? Yes _______ No ________)

b. Receive special tutoring _____

10. Please enclose a letter of recommendation from a music teacher, band director, or other non-relative who is able to give an evaluation of your musical skills and dedication.

Thank you for your interest in an EBTJS Youth Jazz Grant. You will be hearing from us shortly.

Sharon Hicks

Secretary, EBTJS