EFTA00090247.pdf

Application for Admission 4241t1V011,1416D About This Form Please answer all questions below. The application deadline for first priority review is February it Application .00 (te a et this date arc welcome and will be reviewed on a rolling admission basis. Sec the "Admissions" section of the Cam tor complete application and scholarship/financial aid information. Sorry, but we cannot process an incomplete al Applicant Information I Yes RIND Are you applying for Scholarshipfinsneial Aid? ❑Yes EtNo Arc you applying foe Tx Governor's Scholar Whst Division an im for? aim Session A [Junior Setslong O on... A g 'ammo/art O High Set International students: When ate NuntiOni4blen providing telephone number, include the country code and I the city code before the local telephone number. Ser Moe F Nome &your school. Street Address O Yes E SN° Have you previously attendedI Write alto attended: ri Yes l27 No Is a patent an alumni of Intuit:else:if ❑ Esther O Mother: Mtuden none: Yeatfs) of attenclanct: I Additional International [YrYes O No Are you a US. Cow& If not a U.S.Gwen indicate edaenstop Sxkl Applicant Information It English the pommy language spoken as home If nor. what is the psi tell Name outset penal in the ani atm or, TM • available') Parent or Guardian D Stepfather O Stepmother O Legal Gunshot U Ocher. Information Ic t O Monad O Dintrced OST•Thlld I S OcrupatIOn I (h&c 1 Arc. Code puher m Guatdian (note relationship) N Occupation I Inme Street Address State Zip Name of F.mployer (Ace Telephone: Area Code • Number Office Far Arta Code . Number Personal Information Nmc any physical, psychnlogstal. medical ix other condition wolfing special at tauinn or care (such as sleepwalking, leaf of storms. bed anteing, etc.). tem,. 4nrnenal adttruniontsirh at h.( thr u-nue nr Avg Irrinh e&Itiv milenedtclener tie Please give any infix:won that might he helpful in guiding the educe:caul and personal *mitts-um of pour child. For Internal Use EFTA00090247  Students in the Junior Division will be assigned Elute periods of arts activities, including private kssons.Students who complete grade 6 have the option of selecting an additional am dais in place of land recreation. Pleat refer to the 'Junior Division' section in the Camp Extra for a complete discussion of arts activities, daily class scheduling and prerequisites. Names C. 1. Session A 1-Session B A at left. B at right. 3. Session A 3. Session B 3. Session A 3. Session B 4. Soda, A 4. Session B • IL Session A S. Session B Private Lessons? 0 4 - 30-min. lessens. Instrument: 0 4- lenrart Instrument: 0 4 - 60-min. lessons. Instrument: 0 4 -60-min. lenont Mummery: Intermediate & High Students in the Intermediate Division will be assigned four periods darts activities, including private lessons. Students who complete grade 9 have the option of se.ecting an additional class in place of recreation. High cthani L --- - r School Arts Activities including private Lessons. Please refer to your division's section in the ing, prerequisites and audition requirements. Nets: the Comp does OPPE R TTA WORIcS1-10P Major Activity: Choke Maass Coors:Nano / Instrument Of appl VOCAL TECH tsl iOOFs At left; list Course Names nguri this INSTRUMENT 3aiiICL`°'MgsE W in order of preference. llaSecoodeunce Major Car / Instrument (afapplkabk) Minor Activities: At right; list Count Names M USaC th em / FLUTE SKIMS Clone Major Count Name / lintrument (if applicable) in order of preference. ODERA/ DAtJCE I 5 Minor Course Name Private Lessons? ❑8-30.rnin.pirate lessons. Instrument: 0 8 60.min. pirate lessons with one period °Futuna daily. Instrument: -11A —Mann unmet Imaubawob rob rioram:mrhihr lembumm. 1 Music Students Please Answer: Pinup.' caper :tore in Or<imur Nurnhei of Yea,, / Posit ion Previous tapertalle in Band: Nombre n(Yrst t, t Lin difficult marka performed in on ra, band or in ensemble within the put year. 3a List the RWO mot difficult Sot haw mastered on your primary imimmens or sung. Dance, Theatre, Visual Art students- Please A ns TCIEA THE / ML si- CAL TEAT. training and ex 'oulannwe imataDescribe rim" enem' in this atm, Trai n a.k- Vor 3--aef cos-Fun/the ac4-m9 provisa-lion • musical -4-heal-re pe_r%rtrarces, yvlovi ks • Additional References given to whom? 08410Rat Applicant please indicate: 0 Asian American 0 Bbck/Aftroo American 0 Chicano0desient American 0 Porno Rican 0 Native American/American Indian gr enitoCauessian 0 Other. please specify: Neappltrenn ram he processed arrhord riAmarivry of Appistmii drtd Paint/Guarthatv. Send Admission Materials to: Card,' Card Name and Number Expiration Due Please enclose the required $ on. Sec page 2 of the Camp Extra for a complete discussion of Camp cost and refund policy. Your check at payable c You may use a credit card: VISA. MasterCard, Discover and American Express. EFTA00090248  Artistic Recommendation Part I Please complete the follow in items and [et tint that the person to whom you are giving this form fill out Part urn by February 15 to t Admissions Office. This recommendation should be comp bet, Applicant instnictor or director who is very fame tar wit your abilities in your particular arts area. •Far yea THEA 712 E ARTS 7Mit siC L What if your primary .rev of interne? If MUSIC, Int instrument. F: Port II The above student is making application for admission to the Interlochen Arts Camp and is asking that you complete this Instructor 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 andprofessional manner b the Camp. Please return the completed form promptly to: Admissions Office If you have questions, please call the Admissions Office a 0 Please check if you would like to receive more information about Interlochen Center for the Arts and its year-round educational programs. Estimate of applicant's success: g Vir:11 probihn be a suetnet uudrne. D Will probinty be an above smote student. D wi:i probably be an avenge student 0 May have some difficulty and should have saw<al guidance44rue captain below). I n relation to others in the candidate's age group whom you have known, please check the appropriate bar for each item: AMUCK Potential Ef Outstanding 0 Veg. Good 0 Avenge 0 Below Average Actinic Achievement ®Outstanding '.Very Good 0 Avenge 0 Mow Average Work/Practice Habits cal Oatuarthng I J Very Good 0 Menge 0 Below Avenge Initiative ROuutanding 0 Very Good 0 Avenge D Below Avenge Cantivity Outstanding •0 Very Good 0 Menge D Below Average Common Seem )310untanding 0 Very Good 0 Average D Below Avenge Stvicanness of Purpose Outstanding 0 Very Good 0 Average 0 Below Average RC/C6041 (9 Criticism XIOntuanding 0 Very Good 0 Average 0 Below Average Self DiuMilne laOutstanding 0 Very Good 0 Average 0 Mow Avenge c..4 Hatt t.(. -I aica tao-.J • Stuawe v.u , rV-r.ttsn 1. Ptes Compatibility nq Outstanding 0 Very Good 0 Avenge 0 Below Average Conduct rektitstanding 0 Very Good D Arnie ❑ Below Average Integrity Woutstanding 0 Very Good 0 Avenge 0 Below Average EFTA00090249 ants 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. P14/ 14. C:(:).-tikkeNScs Z Co ocr) NAicc -Ftia. ‘Sod BF ko sr (ls cr;Vg, SfrE I GwTED int 'Music AND P2ANA Pi-M) Ras MA N 4 --rtelCas rl 4t-EO Let.ri- KITE eEsT ftkid...01) i14/.16 PS*" ik)(; - -Fr urr 9kpwo and Ei-s&T)) smicfmc tN A L.n&- ty VoICE INNID etm lANAlipiCL•C WIDE gANCr: (Dc NOTES r IN - )o2 0C 4 LANGuAC,c-s , Pn4D TOciNa ficiStrAt DttreTic6V Ltia: eaA4ESSIANAL 'TA() 06,41 .1I4F Is LA-can); l)pritZAiNF'D 'To RLSo ADDS 11+E PauPcsin CC HER U1a.btJ C ttfieNirk1G- (PeeroNfit iatf To Au SKtt LS eptcri aNi tS QS:ItC0( y CNoc-0 .fisPr, ta F is No.( -r VtICS pal/ t_z" IN/ P(2. -SEN'T ,n14- CftfeekTFQ t, ecr ot-te-ftt ND a. Voiev H-76 4-k 4cvnt Cc 'Arc— 4/-tcwz- 6i;-,t-fou Usc aF Stfp (situ_ 41 Ekg TIt.tc AT • Please send admission materials to: By returning this form by February 15 you will insure a prompt review of this student's application. The application is not considered complete until this information is received. Questions? Please call the Admissions Office a EFTA00090250  Academic Recommendation Past Please complete the loll r sr that the person to whom you are giving this form fill out Pa by February 15 to th Admissions Office. This recommendation should be complet Applicant your school who knows you well and is working with you in an academic classroom setting. ECG RA EAC HER 1 year 4wµ? In what capacity haw you known tlw penon completing this II MEATRE Agirg MICA Ca/UWE Whit o your primary area or interest? If music, list instrument Part II 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 torn by February 15, you will insure a prompt review of Teacher his or her application. All information given will be treated in a strictly confidential and professional manner by theCamp. Please return the completed form promptly to: Admissions Office If you have questions. please call the Admissions Office at D Please check if you would '..ke to receive inure information about Interlochen Center fur the Arts and its year-round educational programs. litna Es to of applicant's success; will ptniubly to a asps-nor stuckrit. O will probably be in above average stockist. O Will probably to an avenge stuckni. C May have wow difficulty and should have scot's' guidance (Paw explain below). In relation m others in the candidates age group whom you have known, please check the appropriate box for each item: Academic Potential i suistanding O Very Good O Mont D Below Average Academic Achievement V Osutstanding O very Good O Average D Below Average Week/Practice !fables n Outstanding O Very Good ❑ Avenge D licks Avenge Initiative 02Kuutanding D Very Geed O Average D Below Average Gunton lot Others aZsiarding ❑ Very Good O Average O Below Avenge Gammon Sense Outstanding O Very Good O Average O Below Average Seriousness of Punose Visitsranding O Very Good ❑ Average D Below Average Reaction rot ins /lAntitand:ng O Very Good O Average O Below Average Self Ihseipline Outstanding O Very Good O Average O Moat Average Net Gompotibslity E1,4<aandeas ❑ Very Good ❑ Avenge O &Iola Average Conduct Outstanding O Very Good O Average O Below Average Integrity ywrxanling O Very Good O Average O Below Average Over Please... EFTA00090251  m.nts Additional comments, positive or otherwise, which the Camp should review when considering the applicant's acceptance.' • The Camp wishes to receive all information which will lead to a better understanding of the applicant and his or hat ability to fit i ing situation. 2 74) 11-1- abe— „e,k2sefrat "44. -741,4•#,I4eof-x- Are-itel fr otiedt l ee -a) Me4fate) "-e-itieree.,e) __erne" 6 2-ate-e- Anad lignatur• z. L. Scare Zip Mice Pax: Awn Code • Numb,/ Please send admission materials to: By returning this form by February a you will insure a Admissions prompt review of this student's application. The application is not considered complete until this information is received. Question? Please call the Admissions Office MI. EFTA00090252 EFTA00090253 EFTA00090254  -SYS x4- Nov 1 8 RECD Application for Admission 'a674 is/19.6q950" About This nal Answer all questions below. The application deadline for first priority review IS February 15. Appli 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 Are youwipes for Poona& And' 0 Yes eNo Hart you imbed foe The Goytisolo, Scholar Program, ❑Ye ErNo International students: When providing telephone number, include the country code and the city code before the local telephone number. ee•KRCI%a then ages Nunes of utters AM their ages. Have you previously attended Interlochen Arts Camp (excluding All-State), 2<ea 0 No Yeses) wended. ly I year/ I Istornational Applicants Only Country of bath Secondary Language (if any) spoken at borne Full name a • contact sworn in the Unued Seams Ham Telephone: Area Code - Number (Fax available)) Parent or Guardian Information 1 a Father or Guardian Meet relationship) Name Occupation Horne Sam Addresa City State Zap N_—.e d Employer Office Telephone. Arm Ccde • Number Office Fax: Area Code • Number Personal Information N...e; in) yinniod pircholopol. medical or other condition requiring spun] women or can (sax ilenawallang. fear oh mars. bed wetting, etc She aditthis Q4.4rernely well and qpickly, .92W- wer+In and abut and Is How do you ftle your child in trestle of pascal Admit:mot, such as Li °elm scene ed self . abdity. indef....name.. ere a te lt m ei dent How do you rare your child in terms of wen] adratemeic, ErHas many fnends 0 Has few finis Has cot woo doe foods ErHas had close association with older children FVosanser children ahluktren Au or her own age NO Is Mere any phase of personal or social idiom...in which you hope Camp will sad' Plea give any information that might be helpful in guiding the educational and petunia development of your child. Sch.FA gee C t' / Tape Hal rtiner Ic i. ,d` Internal tifre For Amt ILK D Video • gag L26 work per iv Pon so 1-20 iVic) iglysic • • IA11000091 ACk • EFTA00090255  VocALfrii4GENG 6 yea. Teacher's Stress Address City Stat What is your secondary instrument or interest' Number of tearsStudied Flufe : I year Previous exp.-tense in Orchestra: Number of Years Pontoon Previous experience in Bad: Number of Years I Postition List two difficult workst s ued in orchestra. band or in ensemble within the paswar. 146411/.114 begin Very ottliiry yre . (.Tram rat c'ci ri level of mask) List the two encsraanc.c solos youluve mastered orerour primary instrument or sung. MUSICRL ThEi+ TRP . blue. had accorkt oftnei4 of atifini expert era. T 50 +o "the Dance, Theatre & %Bat is your primary interne Describe previous training and experience in this area Visual Art Students School OCPrr-Et -tor rsos:ir and +VI extre "I've done Cosimerdets, meal pncor rfzs '"43 ing, ?lo.45 , S k its I .e+c • Dia been is blew Yer•• 'broad uvai Junior and Intermediate Students in the Junior Division will be assigned three periods of classes. including private 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 <Lusts. Class Schedule including private lessons. Students who complete grade 9 have the option of selecting an additional class in place of recreation. Please refer to your division's section in the Camp Extra for a complete discussion of cltig. scheduling, prerequisites and audition requirements. '" C HORUS pl C.f-to Ru S 1. Session A (Intermediate: First Choice Major) Session B (Intermediate: First Choice Major) Please list Class Names MUSK,' L TI4sA THE f. Session A (Intermediate: Second Choice Major/ „2 Session B (Intermediate: Second Choice Mr) in order of preference. session A ac left fi c?--49 PERETTA i0 14L)H 3 5„ 17C.ilattiSn". 0 Camp session B at right. ..,N Session A '-v--- VOC AL- TECHNIQUES Vocal_ Tecf-ENIQuEs ,2' :;' %.1- 4. Session A 4r Session B ff 30 moDest\i DANCE. (minor) 1 9:-:-friebeiza DAI4CE. 6.14,0r) ---S. Session An DEaNINC.7 WIND CLASC- R-UTE s* s' 8 SEG( NNW& W I mr) CL-fIsS- FLUTE 0 4 - 50-mM. lessons. Instrument: Private Lessons? o 4 • 60-min. lessons. Instrument: 0,4. 60-min. lessons. Inn t: qq- '11- a ocasn' A- rha_4vr L-..)1.2 ch Se ss t os_ I ( I High School 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 Class Schedule more than one major activity. Major Courses: 1. First Choice Major Course Name Instrument (if applicable) S. Minor Cosine Name At left: list Class Names in order of preference. 2. Second Choice Major Count Name !mina:lent(ifapplicable) 2. Minor Course Name Minor Courses: 3. Third Choice Major Course Name r Instrument (if applicable) 3. Minor Course Name At right: list Class Names in order of preference. 4. Minor Count Name S. Minor Course Name Private Lessons? 0 8-50-min. private lessons. Instrument: ❑ 8.-60.min. private lessons. Instnamenc Additional References given to whom? Name a person in receipt of Artistic Recommendation form 'C." Home Telephone: Area Code Number Name of person in receipt of Academic Recommendation form "D.' Home Telephone: Area Code - Number How did you Ent lent about Intrelochen• Optional. Applicant please indicate: ❑ Asian American 0 MinsA/man Amer an 0 Chwano(Mexican American CI Puerto Rican No application can be processed without the signatures of Applicant and Parent or Guardian. Send Admission Materials to: adm:sainns C1nIee Credit Cud Name and Number Expiration Date Please enclose the required ion. See page 2 of the Camp Extra for a complete discussion of Camp cost and refund policy. Your check is payableYou may use a credit card: VISA, MasterCard. Discover and American Express. EFTA00090256  Application for Admission sn IN About This Form 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 see warnme tnel will he reviewerl CM 2 MINIM 9rimittion baths. Send all materials to: Admissions Office Complete address and phone information are on the bac MAR 01 'Ma Sony, but we cannot process an Incomplete application. Application Checklist 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 If you wish, you may charge the application fee to VISA, MasterCard, Discover or American Express. Credit Card Name and Number Expiration Date Print Card Holder Name Card Holder Signature Signatures ,annig jfiflt4) ymr application uitbsva the ',porn of Appliano end ParntGuardian. • Applicant Information What /IC you applying foe? 0 Junkie Session A 0 Junior Session B 0 Intermediate Session A 0 Intermediate Session B Advanced String Quartet Institute (Session A-High School only) 0 Creative Writing Institute (Session B.High School only) Non-U.S. students: When Date of this Application providing telephone number, include the country code and State the city code before the local telephone number. r Arm Code • Number Grade comp:sired by June. Social Security Number 0 No Have you pervvoirily attended Interred's-fa Arts Camp (excluding All.State)? Write years attended 2. 699,1, iqqc) Fri end How did you fine learn about Interlochene Optional. Applicant please indicate: 0 Asian American 0 African American 0 Mexican American 0 Puerto Rican 0 Asian O Native American arCaucauan 0 Other, please specify: Citizenship Information Country of Birth Country issuing the passport you will use to travel If you arc not a U.S. Citizen, please complete this section. Full name of a contact person in the United States Home Stmt Address State Zip Home Telephone: Ares Code • Number Fax Number. Area Cock - Number Teacher Information fl itaktiVkar E -7-Arigik7oR Name of current primary dittnritor in your,ti area. State - Home Street Address crzy p Home Telephone Area Code - Number Fax Number. Area Code • Number Office Telephone' Area Code • Number For Internal Uinta Sch/FA N Audition 14000;18I 5 MA) T PALI CL al a hi if- ev•76.-L /fai EFTA00090257 Parent or Guardian Information Home Street Address City Stare Zap \tint Employer and address Off Telephone: Area Code • Number Office Faa: Area Cade • Number Financial Information At< yk, ..pplying for financial aid%O Yes IWNo Arc ycra Apr,:y:ng for The Governor's Scholar Program? O Yes ZKo If you are applying for aid. Dora the student applying expect to be the recipient of any funds (scholarship. Bane. award or pnze) from any country. stare, organization or individual specifically please fill our this section. for attendance at the Interlochen Arts Camp% ❑ Yes Er No If yes. name the title of award. source of award and amoont. What i Mother or Guardian Earnings this pear. Please Answer Value of real estate. Father or Guardian Earnings this year. PleasCAnswer Value of real estate. Please attach a copy of your most recent Please note unusual expenses or circumstances you would like taken into Federal Tax Form 1040 to this form. Choosing a Major All Juniors (grades 5-6) are designated as General Arts below. Intermediate Division (grades 6-9) and High Scl only minor courses, your designated major will be Gent programs in the Intermediate and High School Divisiol The information below must be completed it Junior Please refer to the "Junior Division- section in the Camp requisites and audition requirements. 1. Session A: Band or Siring Orchestra Imtrument 1. Session B: Band or Stnng Orchestra Instrument Intermediate Please refer to the "Intermediate Division- section in the Camp Extra for a complete discussion of major arts activities, course Please enter the Major codes, class scheduling, prerequisites and audition requirements. Code from the Camp Extra (i.e. DMODN or BCLAR- I. Session A: (first choke major codennstnunent) S. &nil= B: (first choice major code/instrument) INET) 2. Session A: (second choke major codeinstrument) 2. Session B: (second choice major tedefinstrurnent) High School Please refer to the "High School Division- section in the Camp Extra for a complete discussion of major arts activities, daily class Please enter the Major and scheduling, prerequisites and audition requirements. Code from the Camp Extra. (i.e. TMUCL OR OVIOLIN) 7W6arge PgioWcriew ) music& L Fast Choice Major Course Name and Code -rinuct_Instrument (if applicable) saer ertenZ Moen. 2. Second Choke Major Course Name and Code Instrument (if applicable) 3. Third Choice Manx Course Name and Code Instrument (if applicable) INT000049 EFTA00090258  Course Selection Form About This Form 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. Applicant Name First Name Middle Lug Junior Students in the Junior Division will be assigned three periods of arts activities, including private lessons. Students who complete Please list class names in grade 6 have the option of selecting an additional arts class in place of land recreation. Please refer to the "Junior Division" order of preference. Do not section in the Camp Extra for a complete discussion of classes, scheduling and prerequisites. list according to time. ' Remember to include all classes since there are no 1..Saston A: (first choice area of interns) I -Session B. (lint choke stn of insane) majors in this division. 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!. Students in the Intermediate Division will be assigned four periods of arts activities, including private lessons. Students who Please list only minor class complete grade 9 have the option of selecting an additional class in place of recreation. Please refer to the "Intermediate names in order of preference. Division" section in the Camp Extra for a complete discussion of classes, scheduling, prerequisites and audition requirements. Do not list according to time. Please note that most majors 1. Session B. (line chart) 1. Setae A: (fiat choice) will count as two periods of classes. 2. Session A: (attend choice) 2. Seams B: (mad choice) 3. Sess