Student Application

Name: Student Application
SKU: 1590
Availability: InStock

$0.00

"*" indicates required fields

Student Application

Student's Name*

First Last

Student's date of birth*

Student's age as of June 1st this year*

Student's grade level in school*

Name of High School*

Student's Phone #*

Student's Email*

How did you hear about the Colorado Chamber Music Program?

Instrument*

Student's current repertoire*

Student's ensemble experience*

Chamber music student has studied or performed*

Include the date(s) pieces were studied/performed and be as specific as possible with the repertoire.

Contact Information for Student's Private Teacher

Private Teacher's Name*

First Last

Private Teacher's Email*

Private Teacher's Phone

Private Teacher's City and State*

City State / Province / Region

Provide below your two video links via Youtube video.

Fill in the name and composer of the solo piece and copy/paste the links where it indicates.

3 octave scale of your choice*

Copy/paste the Youtube link below.

Solo selection of your choice*

Copy/paste the Youtube link below.

Title of solo selection*

Composer of solo selection*

I am applying as part of a pre-formed quartet.*

If yes, all quartet member still must submit their own individual applications and videos. The quartet will be placed together upon acceptance.

Yes

If the student is applying as a pre-formed quartet, list the other quartet member's names and instruments below.

Please provide below the name and email address of a teacher or music professional who can be contacted as a recommendation for the student. Please tell them to expect an email from Colorado Chamber Music Institute.

Recommendation: Name*

First Last

Recommendation: Email*

Parent's Name*

First Last

Parent's Phone #*

Parent's Email*

Release for student to participate in the CCMI program*

I the parent or legal guardian of this student agree to this application to the CCMI program.

Application Fee

Price: