# Profoundd archive — Epstein Files # Bates number: EFTA00089964 # Title: 1 ed About This Form # Dataset: 9 # Pages: 14 # Images: 14 detected # Tags: epstein, doj, dataset-9, image-described # Source PDF: https://profoundd.com/epstein-docs/EFTA00089964/download # Doc viewer: https://profoundd.com/epstein-docs/EFTA00089964 # # Text below is what Profoundd has extracted from the source PDF. # 'ocr-enriched' tag means OCR was applied to scan-only pages. # Image descriptions are AI-generated factual captions (llava:13b). #---------------------------------------------------------------------- === SUMMARY === 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/finan === EXTRACTED TEXT === 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