1 ed About This Form

I 1 ed About This Form rfith Applicant Information International students: When providing telephone number, include the country code and the city code before the local telephone number. Application for Admission -Alvitlfr•AZTIO Ph Am. .incwer all questions below. The application deadline for first priority review is February 15. Applicati this date arc welcome and will be reviewed on a rolling admission basis. See the "Admissions" section of the Cam for complete application and scholarship/financial aid information. Sorry, but we cannot process an incomplete a 71 yr, 34. Are you applying for Schrdarshrpfinancial Aid? E Yes [No Arc you applying for The Governor's Scholar applyin jot Session H ❑ Junior A & H Qd Ingemltdiair 0 Iligh Sc Name of your school. Sewn Address 0 Yes IcreNo Have you pnwiously attended Crotch:e'en Acts Camp (excluding All-Sate/I Write dates attended: El Yes Nr...) Is a parent an alumni of bunk:then , d Father 0 Mother Maiden name: Teals/ of attendance: Additional International Applicant Information rim. Are too • US. Conant If not a U.S. Cozen, indicate eih shtenip held a home rig Yet DiNci If not. •hat is the primary language? EN&LI SH SWED ISI4 Home Telephone: Ares Code • Number (gas assilabki) Parent or Guardian Information hat her or Guardian (rote telations.hop) Name (I pm css Home Street Address City H Father Eqf Mother ❑Stepfather I:Stepmother 0 Legal Guardian 1 I Other ortus? OSingk 0 Married 0 scrintea WIDOW TF- PIOR DECORATOR Mw he ..0 nli+nlmte trim Jim, Aim, Oct upation ?Al EF-AC t-t FL II Street Address .— F1/1FLo yEn __1 Naineof Emplows (Alice Telephone Arca Cede • Number Offge Fax Are Cody • Number CON) DOC T 0 k -COmposEQ Ototionun FD A wAY ) Sate Zip State Zip Name of Employer (Ace Telephone: Arm Code • Number Office Far Area Cock • Number Personal Information Nu:e any physical, psychological. method ix other condown requiring special sneer on ne care (such as sleepwalking. fear of storms, bed wetting, etc). How do you nit your child in terms of personal adman-err. such at ha or her tense of self worth, ability. independence. ere.' Flow do sou rate your child in team of /octal adornment RI'llat many friends ID list kw (emend. El list one or two t friends 211as had ileac anew au ion vrith older children NrYounger children Klulrlicn hit or her ow' age NOIs there any phased peso:milor social adjustment which you hope Camp will aid' Plate give any mformanoo that might be helpful in guiding the cduramnal and personal drrtlopment of your child. EFTA00089964 Private Lessons? Students — Please Ans Names C. A at left. B at right. Students in the Junior Division will be assigned shier periods of arts activities, including private lessons. Students who complete grade 6 have the option of selecting an additional am class in place of land recreation. Pleat refer to the 'Junior Division' section in the Camp Extra fora complete discussion of arts activities, daily class scheduling and prerequisites. L Session A 1. Session & Session A 2. Session 8 & Session A & Session 4. Session A 4. Session S. Session A & Session B 0 4 - Cessna, Instrument: El 4 - 60-mm. lessons. Ininument. 0 4 • 30.min. lessons. Instrumenc 0 4 - 60.min. lessons. Instrument: Intermediate & High School Arts Activities Major Activity: At left; list Course Names in order of preference. Minor Activities: At right; list Course Names in order of preference. Private Lessons? Music Students Please Answer: Students in the Intermediate Division will he assigned four periods of arts activities, including private lessons. Students who complete grade 9 have the option of selecting an additional class in place of recreation. Hies I"^"I n-A•••"' -:" " --- ' - - • I r . • ' 0 ?Pa g rim WOR. k Sf-I 0 P tee including private Imson.s. Please refer to your division's section in the Ca ing, prerequisites and audition requirements. Note: the Camp does i VOCAL TEC_ t-k 1\J I 00 Fa tFirst Clone Mimi Coors/Name/ Instmment(if',Mier) , 2 Minor Count Nine —1-11FaianeART s Musical) 8EGINNIN G TM ST R ME- N T & &vend O10KC Motor Cass rime/ !nutmeat (if amiable/ I Minor Coigne Name MAL.55L11 Y C s3 : F L .FE sr third Gamy Major Count Name / Insmunetit (if applitabk) 0 DERN DAAKE -Minor Count Name 5 Minor CAMS. Name El 8-30.min. private lessons. Instrument: 0 8 60•min. pirate ICS1OOS with one Aerial of practice daily. Instrument: ❑ 8-60-min. private lessons with two periods apractice daily. Instrument: S WGI tSIGI-V-aCAJ - 7- What is your primary innsspmcnt or interest? Number Teaches's Street Address F q 3 . What is your secondary Murumens or interest? 9S Years Studied Name of t es-- City Stare Zip Number of Years Studied Previous expeneme in Orchestra: Number of Years Pastimes Previour open/net in Band: Number of Years / Position List W/Odifficult works performed in °tot, band or in ensemble within the put year. 44tlf, Ini.A.3 BE r);FFI CO LT F Q 11/44P-List the two most difficult .sokiyou haw misstated on your primary inittummit or song. Dance, Theatre, Visual Art MIED TR E Mos r CA) THEA-rkLE Trett n ho ak-u easy niftiest Etessola previous trsining and rap-tierce in this arm. . . •-• c I rit prouisct-Hnvl ) Mars i cal 4-h eafre ) Plo,q 5 , percorillarCeS, w1001 QS • a Additional References given to whom? wan ie receipt of rrane °commendation loan How did son first leans about Interiorly/1? Outioesi. Applicant please indicate 0 Asian American ❑ Naive American/American Indian NrWhiteCaucasian 0 Other. please specify: Name ot n teen or Academic Rmenenendsoon Donn D. Na ant:Arnow taw be pnxessed wither the tignantres 01Am/stens avJ Parnurraranhan Send Admission Materials to: Admissions Office 0151.818,81, Ibis I hate alftlutred the eprottro ea that applies:sow to the Mr of msahrtssi wed bonne my rosiness are hate and soma /are read that applicants a the responses are Ince arsdrerrat to rbe kat f my kneader/A 1 lapse this strodent's application to the lisserlorbet Am Camp. I it tt 1 3 Credit Card Name and Number Expiration Date Please enclose the required 5 with your aDol iv-Litton. Sec page Z of the Camp Extra for a complete discussion of Camp cost and refund policy. Your check is payable r You may use a credit card: VISA, MasterCard, Discover and American Express. EFTA00089965 Part I Applicant Artistic Recommendation Please complete the following items and request that the person to whom you ate giving this form fill out Pan rum by February 15 to the Interlochen Arts Camp Admissions Office. This recommendation should be complee cher, instructor or director who is very familiar with your abilities in your particular arts area. Mir: les loot • um tuna ?)31-iReiCity Wr Zip fkiFnir>, PanToGee &fa StuDE.Nir ; la whs. Nancy have you lamas the person compining this 1 How ? ME-Al—RE ARTS M it s itC AL TV Fiei TR F.- Who is your primary anti interne? It MUM, in instrument. kieciers Part II Instructor The above student is making application for admission to the Interlochen Arts Camp and is asking that you complete this confidential recommendation form. By returning this form by February 15, you will insure a prompt review of his or her application. All information given will be treated in a strictly confidential and pmfessional manner by the Camp. Please return the completed form promptly to: Admissions Offic If you have quest ions, please call the Admissions Office at 616.276.7472 [Ti Please Chet k if you would like to recent- mote mfurmat ion about Interim hen Center for the Arts and a% year-round educat tonal programs. Estimate of applicant's success: probght) be a lUrtfltif %tutkot D Will [unholy be an above avenge student. Ti Wi:l probably he an average student 0 May have some difficulty and should ham spool guidance (please captain below). In relation to others in the candidate's age group whom you have known, please check the appropriate box for each item: Anent Potential gi Outstanding 0 Very Good 0 Avenge ❑ Below Avenge Artistic Achievement Is Oununding ',Very Good 0 Avenge 0 Below Average Work/Practice Habits qt Outuardang ( I Very Good 0 Avenge 0 Below Avenge Initiative firOuutanding 0 Very Good 0 Avenge 0 Below Average Creativity Ourstanding • 0 Very Good 0 Avenge El Below Average Common Sense No.nding 0 Very Good 0Any.g. 0 Below Avenge Seriousness of Purpose Outuanding 0 Very Good 0 Avenge 0 Below Avenge Reaction "Criticism Ourmusding 0 Very Good 0 Avenge 0 Below Avenge Self Discipline laClunstanding 0 Very Good 0 Avenge 0 Below Avenge !hitt tr. 44,-.4 ,o-coi • Z uTsu19". e O.u>ra-r.a,n1. Pear Compatibility Al Outstanding 0 Very Good 0 Average 0 Below Awrµe Conduct re/Outstanding ovayGmed 0 Avenge ❑ Below Average Integrity WOurstanding 0 Very Good 0 Menge 0 Below Avenge EFTA00089966 Additional comments, positive or otherwise, which the Camp should review when considering the applicants acceptance.. • The Camp wishes to receive all information which will lead to a better understanding of the applicant and his other. experience to date. PLC Cot-tkENSTI L Cock-r) NhiceL iti d4uSic AND 1:0(2ANA hM Ras l4fic\itt -FFlCCT1 OF PkiANIO and -F-tge,P) Sinigti“ /N A L.mt Fly Vol CE ANT> AN -INNyCliniGt•C IsitIDE /2•AgvCr Of NoTE.S r IN ->c.)6? oc -6(t- LAn6oAC-c-s, Ahlb TArt I,-tt IS te D(12ECTicA/ t'Kc e 67C(14FSSinNel r -frinU6,11 AFVE Is Lfi-Caeri); UNITCZPIINED rfc, DATg. SH6. ALS'o ADDS 17+E PGIURAir)/ of HER rtt-OeffrkIG- aeronitit:CIV To cku Sett LS. Vtriral., tS QAKT(C_utAKL"/ CocID iqtap LS Pram- Vtlitcpall F (NJ P F SR\J-LINI C (ftftenCireC, L c.r." orefttwD Vegv H--i644-01 AND •f-N-nt SuRc— StIF (JILL 41/4-(04-- 61zrit-lec Use or (-kg TINC AT • AUTHOR-I:1 sr (4) 27 1794 -ra°1-Ctaq f1/4 Ditzecrocz G•F ftieSS10041L eilagettUS Sc He cL &s•-t Office el ::A Ca& • Number City Sate FL z. Please send admission materials to: By returning this form by Faliany15 you will insure • prompt review of this student's application. The application is not considered complete until this information is received. Queltiosts? Please rail the Admissions Office at EFTA00089967 Part I Applicant Academic Recommendation Please complete the following items and re uest that the person to whom you are giving this form fill out Part by February 15 to th Admissions Office. This recommendation should be complet your school who knows you well and is working with you in an academic lassmom setting. I one Telephone Are City_ S(atc C7E—OGRA PlAY TEAcHFR In what capacity have you known the person completing chit Tom? EA TRESSZEL251C-B Eflik What as your primary armor interest? If music. list instrument. 1 year II Lone FL_ Part II Teacher The above student is making application for admission to the Interlochen Arts Camp and is asking that you complete this confidential recommendation form. ay returning this form by February 15, you will insure a prompt review of his of her application. All information given will be treated in a strictly confidential and orofessional manner by the Camp. Please return the completed form promptly to: Admissions Offic If you have questions, please call the Admissions Office at D Please check if you would :Ike to receive more information about Interlochen Center fur the Arts and its year-round educational programs. IvreaEs te of applicant's success: will pnEwlsly be a calm-tau student. O will probably be in above average student. 0 Will probably be an avenge student. C Msy Isaac wow difficulty and 'herald have pet sal guidance (Paw eaplain below). In relation to others in the candidates age group whom you have known, please check the appropriate box for each item: Academic Potential Academie Achievement eCtatanding 0 Very (-wood 0 Mange 0 Below Average c101utstanding 0 Very Gaud ❑ ArtIlle 0 Below Average Week/Pnctke Habits Outstanding 0 yen. Good ❑ Awn, D Below Avenge Initiative aircuuranding ID Very Geed 0 Average 0 Below Average Concern foe Others Common Sense Seriousness of Puryose 2<tintanding 0 Very Good 0 Avenge rnrding Veuntanding 0 Very Good 0 Average 0 Below Average 0 Very Good 0 Average 0 ed. Avenge El Below Avenge Reaction to Crittrawn atOttrarading 0 Very Good 0 Average 0 mo. Avenge &If Ihsciplinc ansianding 0 Very Good 0 Avenge ID Below Avenge Feet Compatibility a_ all 0 Very Goad ❑ Avenge ❑ Below Avenge Conduct Outacianding 0 Very Good Cl Average 0 Below Avenge Integrity ywrstanding 0 Very Good Cl Average 0 Below Average Over Please... EFTA00089968 moms Additional comments, positive or otherwise, which the Camp should review when considering the applicants acceixance.• • The Camp wishes to receive all information which will lead co a better understanding of the applicant and his or her • • ability to fit into a 'al or group living situation. "42) __el/ed.fred Aseltd , Ate f-ld Marate) AztLizeSel „.eas /Otl-at) Jp orzezanv fr ed-Psy signature ccdaiglialare 01 leacher an 1a7-7/ ."v le Lip Office Pa: Arts Code • Numbef Please send admission materials to: By returning this form by Fantary 1$ you will insure a Admissions prompt review of this student's application. The application is Incerlochen Arts Camp not considered complete until this information is received. Inmr Michigan Questions? 49643-0199 Please call the Admissions Office at EFTA00089969 FLA$HCOMP by AD CENTER FORT LAUDERDALE PHOTO by MARK HILL EFTA00089970 EFTA00089971 I mme yt Application for Admission "Abrilb —8246500" /*- goy 1 8 RECD About This Farm Answer all questions below. The application deadline for first priority review is Febntary 15. App this date are welcome and will be reviewed on a rolling admission basis. See the -Admissions - section of the for complete application and financial aid information. Sorry, but we cannot process an incomplete application - Applicant Information International students: When providing telephone number, include the country code and the city code before the local telephone number. Are you applying for Farnacial Aid) O Yee ZNo Have you applied foe The Governor's Scholar Program) O Yes El .Yo What Damon art youapptying for) O Junior Session A O Junior Seance, B lErintermediete Session A Wurtniediste Session Apphanc City FeWualort 10- I.Zcomplete be Jun. Hays you puvroody attended Interlothen Arts Camp (excluding All-Sued? Ilices O No Yours) wended I year/ na, Cameo of onsenship 5WEDIS H Prmaser Hammer Ma") m home Country of birth Secondary language (if any) spoken at borne name of a conrw Noon art the United States Horne Telephone: Area Code • Number (Fax available) Parent or Guardian Information Who &a the applicant normally live with' Nom relancestup. Wit 101 Parents manes) stalatt Mother or Guud ran (note relationship) Name Home strut etacteta SELF- EMPLOYED Name of Employer o4-her PM- M REACH City niteRtoR DECORATOR N Office Telephone: Arta Code • Number Office Fax: Area Code • Number Father or Guardian Mote Matronship) Name Occupation Home Strut Address City State Zap Emit/ow Office Telephone: Arra Code • Numbre Office Fax: Ares Code • Number Personal Information Noce any PhYstal• larhologscal. medics' cc otter =damn requiring spinal antneion or can (on rrealiong. Inc of storms. bed woting, She adius+s ex-Wet-nett" well card guickly, SW-worK, and ar5 How do you Ms your child in terms of Noun' Sibuscount. loch as hes other nue of . ability. inderendteft. etc.' IAai 'f How do you race your child in terms of adroit:meat? IErHas many friends O Has few Infects O Has one cre two dose Funds ellas had dote association with older children Er/wager children anisildren his or her own age dest. NOIs there any phut of personal of social adrustrtunt which you hope Camp will aid' Plow give any information char might be helpful in muchns the educational and pound development of your child. For Internal Use Ca( Reit, 1)i.8 4113-SchFA Amt Rec C V)./ / Re< D yd Ta Vidto • S Rea a Work port • tv 4 - IN 1000091 EFTA00089972 VOCAL SIWG i W6 6 Years Maestro 4/ Music Students Dance, Theatre & Visual Art Students Teacher's Street Address City State a-- - Zip What is your secondary instrument or interest' Number of tears Studied Previous experience in Orchestra: Number a Wan Postition Rufe : I (ital. Previous experience in Band: Number of Years I Postition List two diffic.ult workscrtsfoenstd in orchestra. band or in ensembk .within the past /car. jie+11,}14 been very v hole aryl of hit level of read'," .task) List the two most-8A alt solos you have mastered on' us primary instrument or sung. ms_Mosle THEATRF . z blue inacitcairo.t oftwakt of ar4:iini experi era. 50 +0 +he What is your primary interne) Describe previous training and experience in this an. School o-C7orr+c ;or music and eccire . done CO PAmorus&S 1 trY14.44li 9i,rCor manner Slrlgin3, ?taxis , Skits j 424c • Junior and Intermediate Class Schedule Please list Class Names in order of preference. Camp session A at left Students in the Junior Division will be assigned three periods of classes. including prince lessons. Students who complete grade 6 have the option of selecting an additional class in place of land recreation. Intermediate Division students will be assigned four periods of classes. including private lessons. Students who complete grade 9 have the option of selecting an additional class in place of recreation. Please refer to yogi division's section in the Camp Extra for a complete discussion of city. scheduling, prerequisites and audition requirements. lic:-CHORUS p l CHORUS 1. Session A (Intermediate: First Choice Major) MuSicAL- TI4EATRE Session A (Intermediate: Second Owe Majcc) a---49PERETTASession B (Intermediate: Fine Choice Major) .2. Session B (Intermediate: Second Choice Major) <M Camp session B ac right. 330 sv6c^ Tsui N 01..) es 3. SCISKXI B 23-7 VOCAL Tack QUES a4. Session A 4j. Session B 331; &IM0 DE-Rbsi DANCE (minor) '1%4•110t)eg_14 DA-NCE (.tutor) s. Sr inn DEgit ,11NC7 WIND CLASC• RAirE Lk"' SEGE NNW& Wimp ccasS-- FLUTE Ps: s ssonsr High School Class Schedule Major Courses: At left: list Class Names in order of preference. Minor Courses: At right: list Class Names in order of preference. Private Lessons? O4 • 30.min. lessons. Instrument: O4 - lessons. O 4 - 6O.min. lessons. Ins< t: Sessio.v 1(1 High School students will be assigned five periods of classes. including private lessons. Please refer to your division's section in the Camp Extra for a complete discussion of classes, scheduling. prerequisites and audition requirements. Note: the Camp does not guarantee participation in more than one major activity. L. Fill{ Choice Major Course Name Instrument (if applicable) 1. Minor Count Name 2.5<cond Choice Major Count Name Instrument (if applicable) 2. Minor Course Name 3. Third Choice Major Course Name I Instrument Of applicable) 3. Minor Coupe Name 4. Minor Course Name S. Minor Course Name O8-30-min. private lessons. 111StIlltnalt: ❑ 8-60-min. private lessons. Instrument: Additional References given to whom? No application can be processed without the signatures of Applicant and Parent or Guardian. Send Admission Materials to: Acirmsi:ons Office Name ce person in receipt of Artistic Recommendation form "C." Home Telephone: Area Code - Number Name of person in receipt of Academic Reeommendation form "D.' Home Telephone: Area Code - Number How did you first learn about Interlochen , Optional. Applicant please indicate: O Asian American O Bls.ck(African American O ChicanciAlexion American ❑ Puerto Rican O Native Arrieticanotmerican Indian kr07hitritaucasima O Other. please specify: /0/31/94 Applicant Signatire Dare I bate ansurrni :he qurstiou nn this application to the but of my ability and brimr my stutters are true and correct. cm 1 bow read Ibis appl=i tniarfore and correct to the Mt of Pry knouledge. I tapport this stades:ft application to the Interlethen Ant Camp. Credit Cud Name and Number Expiration Due Please enclose the required S with ur a li ion. See page 2 of the Camp Extra for a complete discussion of Camp costand refund policy. Your check is payable u You may tau a credit card: VISA, MasterCard. Discover and American Express. L EFTA00089973 FElawimm . About This Form MAR 01 clog Application Checklist Application for Admission IN Please answer all questions below. Refer to the "Admissions" section of the Camp Extra (page 2) for complete application and financial aid information. The application deadline for first priority review is February 15. Applications m are welcome and will be reviewed on a rolling admission basis. Send all materials to: Admissions Offic Complete address and phone information are on the bac Sony, but we cannot process an incomplete application. O Completed Application and Course Selection Form 0 Application Form Signatures 0 522S. Application Fee O Audition Materials Enclosed if Required (see your division's Course Descriptions in the Camp Extra). Camp Application Fee Please enclose the required $225. with your application. Make checks payable to charge the application fee to VISA, MasterCard, Discover or American Express. If you wish, you may Signatures We cannot pubs year application tiirboat the riAnalsaa of Applicant and ParnmGuardian. Credit Card Name and Number Expiration Date Pnnt 1 I/A/IC-Card Holder Name Cud Holder Signature C. I hateea:tarred the qiectiom thrUpplicarion to the bat of ability aud Mina my amen are true and tomer. are my Pare 1 ha m knowledge. ua re mad :bit application and the DoT and corny to she bar of my Intaltaben Arts Camp. I tamer shit tradma's application to r Applicant Information What ivision are you applying for? 0 Junior Session A 0 Junior Session B ❑ Intermediate Session A 0 Intermediate Session B Non-U.S. students: When providing telephone number, include the country code and the city code before the local telephone number. High School Advanced Seeing Quanet Institute (Session A-High School only) 0 Creative Writing Institute (Session B-High School only) Date of this Application Sea Zip <phone' Area Code • Num Age Nickname (0 0 No FLOC you prevroudy attended Interact:en Arts Camp (excluding All.State)? Fri &id How did you Ant learn about Interlochcni Fax Number: Arm Code • Number GrxT'ARQFted by June. F. pplicant Saul Security Number tli tthillEC (TIMM cur year Write ,tan attended: 2. (gig, igelsr) Optional. Applicant please indicate: 0 Awn American 0 African American 0 Mexican American 0 Puerto Rican 0 Asian O Native American arCaucauan 0 Other. please specify: Citizenship Information If you are not a U.S. Citizen, please complete this section. '1yi\Country of Birth Country issuing the passport you will use to travel Full wane <la contact penon in the United Stain Home Street Address City State Zip I tome Tticphore. Area Code • Number Fax Number: Area Code - Number Teacher Information Name of current primary in4ructor in your ans arra. Home Street Address N-Ity ifoRMSAtelr E -Tai k704 FTJNPoGtion p - Home Telephone Area Code. - Number Fax Number Area Code • Number Office Telephone: Area Code • Number For Internal Useto Sch/FA NAudition 14000418" 1.2O N IMO tst4., 0_ MA) leck az,6 qtr EFTA00089974 Parent or Guardian Information names' marital status • Ito Sneer Address / if— Ern ioy/9 4 J cName of Employer and rem Father or Guardian (not City State Zap state ephone: Area Code • Number Office Fax: Area Code • Number CO/ULU -Sr ConifeSer OcevpseicerTnle Home Stem Address Name of Employer and address Office Telephone: Area Code • Number Office Fax: Area Code • Number Financial Information If you arc applying for aid. please fill out this section. Mother or Guardian Please Answer Father or Guardian Please Answer Please attach a copy of your most recent Federal Tax Form 1040 to this font. Arc you applying for financial aid' 0 Yes EreNo Arc you applying for The Gott/noes Scholar Program' 0 Yes ZCo Dora the student applying expert to be the recipient of any funds (scholarship. grant, award or prize) from any country, state. organization or individual specifically for attendance at the Intedochen Arts Camp) 0 Yes 21°..No If yes. name the title or award. scurry of award and amount What is the dollar amount applicant anti ipo or her family tan provide toward the Camp tuition' Earnings this year. Value of real estate. Earnings this year. Value of real estate. Please note unusual centrists or circumstances you would like taken into c Choosing a Major In April a a wede orm in festiv al Saraso- competitio n. , =ravels to Verona, Italy, for a vocalish film . Mom, understandab their farmail All Juniors (grades 3-6) are designated as General Arts below. Intermediate Division (grades 6-9) and High &I only minor courses, your designated major will be Gent a ers, ' she said. programs in the Intermediate and High School Divisiot . When he turns /8 he w The information below must be completed it at the am ‘...niuncr w ant be proud." Junior fiat, :la& ssorned told me lenberg Please refer to the "Junior Division" section in the Camp Extra for a complete discussion of arts activities, class scheduling, pre- requisites and audition requirements. 1. Session A: Band or String Orchestra Instrument & Session B: Band or String 0rchesera Instrument Intermediate Please enter the Major Code from the Camp Extra (i.e. DMODN or BCLAR- INET) Please refer to the "Intermediate Division" section in the Camp Extra for a complete discussion of major arts activities, course codes, class scheduling, prerequisites and audition requirements. 1. Session A: (first choice maim. cedtrinuturnent) 1. Session B: (first choice major code:instrument) 2. Session A: (second choice major codelinstrumentl 2. Session B: (second choice major cede/imminent) High School Please enter the Major and Code from the Camp Extra. (i.e. TMUCL OR OVIOLIN) L First Choice Manx Course Name and Code Please refer to the "High School Division" section in the Camp Extra for a complete discussion of major arts activities, daily class scheduling, prerequisites and audition requirements. WitargE napalm , MUSicilt TAI(ILL Instrument (if applicable) razr cfirne MrkFog 2. Second Choice Major Course Name and Code Instrument (if applicable) 3. Third Choke Maroc Cour,. Name and Code Inurement (if applicable) INT000049 EFTA00089975 Course Selection Form About This Form Applicant Name This part of the application will be used for class registration. Your major will he determined through the Admissions process. You do not need to indicate your major on this page. Please complete the appropriate section to indicate classes that you would like in addition to your major. First Name Middle Lug Junior Please list class names in order of preference. Do not list according to time.' Remember to include all classes since there are no majors in this division. Students in the Junior Division will be assigned three periods of arts activities, including private lessons. Students who complete grade 6 have the option of selecting an additional arts class in place of land recreation. Please refer to the "Junior Division" section in the Camp Extra for a complete discussion of classes, scheduling and prerequisites. 1..Saston A: (first choice area of interns) I-Session B. (lint choke stn of insane) Session A: (second choice arm cruxes's.) 2. Session B: (second Omer area al inteiels) &Session A: (third choice) 3-Session B: (third choice) 4. Session A: (fourth choice) 4- Samuel B: (fourth choice) 5. Session A: (alternate choice) 0. Session B: (alternate choice) Private Lessons 0 4- 30 minuet lemons. (Instrument) 0 4 30 minute lessons. (Inumunem) 0 4 . 60 minute lemons. (Instrument) 0 4 . 60 minute lessons. (Sacrament) Poitnet Campers Only: Teacher preference for private lessons. Former (simpers Only Teaches preference for pr. lessons. Internals!. Please list only minor class names in order of preference. Do not list according to time. Please note that most majors will count as two periods of classes. Private Lessons Students in the Intermediate Division will be assigned four periods of arts activities, including private lessons. Students who complete grade 9 have the option of selecting an additional class in place of recreation. Please refer to the "Intermediate Division" section in the Camp Extra for a complete discussion of classes, scheduling, prerequisites and audition requirements. 1. Setae A: (fiat choice) 1. Session B. (line chart) 2. Session A: (attend choice) 2. Seams B: (mad choice) 3. Session A: (third choice) 3. Session B: (third choice) 4. Session A. (alternate choice) 4. Session B: (alternate choice) O 4 30 minute lessons. (Inutomms) 0 4.30 minute lessons. (Instrument) O 4.60 minute lessons. (Instrument) 0 4 - 60 minute Irma fimuument) O 4 .60 minute lessons with 2 ponds wage. (Instrumem) 0 4 - 60 minute lessons with 2 periods pactire.Onunienent) Forme, Campers Only: Trochee prefennce for minor leuom. Fan*. Campers Only Teacher preference for ptivase know.. High School Please list only minor class names in order of preference. Do artist according to time. Please note that most majors will count as two periods of classes. Private Lessons High School students will be assigned five periods of arts activities, including private lessons. Please refer to the "flesh School Division" section in the Camp Extra for a complete discussion of classes, scheduling, prerequisites and audition requirements. 0 eereitit L110 r KS hr) L Fi /Choice 1. First Altetnste 2. Second Choice 2. Second Alternate 3. Third enure 4. Founts Choice .4., Voice soprano 80 8 - 30 immure lessons. (Instrumea) 0 8 - 30 minute lasom. (Baronet's) C 8 - 30 minute lessons. (If second instrument) 0 8 • 30 minuet lessons. (If second Mt omen ) EFTA00089976 Artistic Intonation VOCAL-SOPRAt 1/410 All students please answer: What a your primary irarrument or meta& Number of Years Studied Music Students: Dricribe previous training and experience in this ea co ..< LAST VettPS) eficepos ef OREAT ACOGIVEftirerS Whir is your secondary nutmeats or interns? Number of Years Studied Dmaibe previous training and experience in this arts. Previous experience in Orchestra: Numbee of Wan Potinon Previous exponent in Band: Number ol Wan/ Pension List two difficult yanks pertained in melte ,,,,, hand o in ensemble within time past year. List0± ) he ea dekull man, rots /...c .mastered nn your pommy 'nommen, or sung aAfir.ukti. Personal Information Nanjaglibrochers ant sits Nunes of defers and saes ane Hepfht Weight 7 Father 0 Not hentMaokn Name: Swedish English Primary language spoken at home &conker, language la any) spoken at 'WOW Note Wywcal, psychological. medical oe other condition requiring special attention ca care (such as alerynniking. ford norms, hot wetting. Hr.). one. How do you rate your child in terms of penonal adjust/ant, such sa his or her pose of self 'meth, ability. independence. oaf &Pt recent and cwoodc_itzt,Jastyeat . How do you rate your child in terms of social adjmernent? Wfilaa many friends 0 Ha few friends 0 Hu one or two close friends [irl las hail close association with okkt children Younger children ethildren his or her own µe No Is their any phase of personal oc social adjustment which you hope Comp will aid? Plow gist any information that might be helpful in guiding the educational and personal dewlopnwist of your child. Send all materials and direct Inquiries to: When wring U.S. Pond When string Federal Express, UPS horra Service and to: and Airborne Expos send so: E-Alall. EFTA00089977