STUDENT APPLICATION Name * First Name Last Name Home Address * Cell Phone/Home Phone * (###) ### #### Name/Address of School * Grade * Gender * Email Social Handles * Why do you want to join the program? * What previous experience do you have in music? * What motivates you to particpate in making music? * Do you have precious experience being in a studio? If yes, please explain. * Have you written or created music? * Yes No Do you have experience with the sofware, Logic Pro? * No Yes (Beginner) Yes (Intermediate) Yes (Advanced) Have you ever performed at an live event? * Yes No What skills are you looking to learn? * What skills are you looking to improve? * What individuals has served as a role model for you? Why? * Initial the four statements below: * • I understand that the program involves spending a minimum of 4 hours a week creating, learning, and participating in group mentoring. • I understand that the program involves a commitment from 4:00-6:00pm on Tuesdays and Thursdays for a 12-week period. • I understand that I will be matched with a mentor in a group setting. • I understand that the music created in the program will be positive. (Does not promote sex, drugs, alocohol or profanity) I have read through the 4 statements I understand the 4 statements Please list two references: * Name, Address, City , State/Zip, Phone number, Relationship * To the best of my ability, I certify that the information provided on this application is true and accurate. I also understand that misinformation knowingly provided here is grounds for ineligibility. Date * MM DD YYYY Thank you!
