EFTA00089962
EFTA00089964 DataSet-9
EFTA00089978

EFTA00089964.pdf

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Application for Admission -Alvitlfr•AZTIO ed About This Form Ph Am. .incwer all questions below. The application deadline for first priority review is February 15. Applicati rfith 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 Applicant Information 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 International students: When providing telephone number, include the country code and the city code before the local telephone number. 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...)Isa parent an alumni of bunk:then, d Father 0 Mother Maiden name: Teals/ of attendance: Additional International rim. Are too • US. Conant If not a U.S. Cozen, indicate eihtenship held I Applicant Information a home rig Yet DiNci If not. •hat is the primary language? EN&LI SH SWEDISI4 Home Telephone: Ares Code • Number (gas assilabki) Parent or Guardian H Father Mother ❑Stepfather I:Stepmother 0 Legal Guardian 1 I Other Eqf Information ortus? OSingk 0 Married 0 scr intea WIDOW TF- PIOR DECORATOR Mw he ..0 nli+nlmte trim Jim, Aim, Oct upation ?Al EF-AC t-t FL II Street Address Sate Zip .— Naineof Emplows F1/1FLo yEn (Alice Telephone Arca Cede • Number __1 Offge Fax Are Cody • Number T 0 k -COmposEQ CON) DOCOtotionun hat her or Guardian (rote telations.hop) Name( I pm css Home Street Address FD A wAY ) City State Zip 1 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 auion vrith older children NrYounger children Klulrlicn hit or her ow' age NO Is 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 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. Names C. L Session A 1. Session A at left. B at right. & Session A 2. Session 8 & Session A & Session 4. Session A 4. Session a S. Session A & Session B Private Lessons? 0 4- Cessna, Instrument: 0 4 • 30.min. lessons. Instrumenc El 4 - 60-mm. lessons. Ininument. 0 4 - 60.min. lessons. Instrument: tee 0 ?Pa g rim Intermediate & High 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 . • ' School Arts Activities including private Imson.s. Please refer to your division's section in the Ca ing, prerequisites and audition requirements. Note: the Camp does WOR. k Sf - I 0 P i Major Activity: VOCAL TEC_ t - k 1\ J I 00 Fa At left; list Course Names in order of preference. t First Clone Mimi Coors/Name/ Instmment(if',Mier) —1-11FaianeART s Musical)I 8EGINNIN , 2 G Minor Count Nine TM ST R ME - N T & &vend O10KC Motor Cass rime/ !nutmeat (if amiable/ Minor Coigne Name Minor Activities: At right; list Course Names MAL.55L11 Y sr third Gamy Major Count Name / Insmunetit (if applitabk) C s3 : F L .FE in order of preference. 0 DERN Minor Count Name DAAKE- I 5 Minor CAMS. Name it t t Private Lessons? 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: 7 S 1 Music Students S WGI tSIGI-V-aCAJ -- Please Answer: What is your primary innsspmcnt or interest? Number Years Studied Name of t es-- Teaches's Street Address F 3 . City Stare Zip What is your secondary Murumens or interest? q 9 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, 44tlf, Ini.A.3 BE band or in ensemble within the put year. r);FFI COLT F Q 114/4P- 3 List the two most difficult .sokiyou haw misstated on your primary inittummit or song. Dance, Theatre, Visual Art MIED TRniftiest E Mos r CA) THEA-rkLE Trett n ho ak- Students — Please Ans u easy Etessola previous trsining and rap-tierce in this arm. . . •-• c I rit prouisct-Hnvl ) Mars i cal 4-h eafre ) Plo,q 5 , percorillarCeS, w1001QS • Additional References given to whom? wan ie receipt of rrane °commendation loan Name ot n teen or Academic Rmenenendsoon Donn D. How did son first leans about Interiorly/1? Outioesi. Applicant please indicate 0 Asian American ❑ Naive American/American Indian NrWhiteCaucasian 0 Other. please specify: Na ant:Arnow taw be pnxessed wither the tignantres 01Am/stens avJ Parnurraranhan 0151.818,81, Ibis Send Admission I hate alftlutred the eprottro ea that applies:sow to the Mr of msahrtssi /are read that applicants a the responses are Ince arsdrerrat to rbe kat f my wed bonne my rosiness are hate and soma kneader/A 1lapse this strodent's application to the lisserlorbet Am Camp. Materials to: Admissions Office Credit Card Name and Number Expiration Date Please enclose the required 5 with your aDoliv-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 Artistic Recommendation Part I Please complete the following items and request that the person to whom you ate giving this form fill out Pan rum Applicant 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. City Mir Wr : les loot • ?)31 Zip -iRei um tuna fkiFnir>, PanToGee ; &fa StuDE.Nir kieciers How ? la whs. Nancy have you lamas the person compining this 1 itC AL TV Fiei TRF.- ME Whois -Al—RE ARTS Mit s your primary anti interne? It MUM, in instrument. Part 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 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 Interimhen 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 o vayGmed 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 PkiANIOand -F-tge,P) Sinigti“ /N A L.mtFly VolCE 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 - fr inU6,11 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-LINIC (ftftenCireC, L c.r." orefttwD Vegv H--i644-01 AND •f-N-nt SuRc— StIF (JILL 414/-(04-- 61zrit-lec Use or (-kg TINC AT • (4) 27 1794 AUTHOR -I:1 sr -ra°1-Ctaq f14/ Ditzecrocz G•F f tieSS10041L 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 Academic Recommendation Part I 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 Applicant your school who knows you well and is working with you in an academic lassmom setting. I one Telephone Are City_ FL_ S(atc C7E—OGRA PlAY TEAcHFR 1 year II Lone 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. 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. ay returning this form by February 15, you will insure a prompt review of Teacher 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. Esrea te of applicant's success: Iv 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 eC tatanding 0 Very (-wood 0 Mange 0 Below Average Academie Achievement c1 01utstanding 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 r nrding 0 Very Good 0 Average 0 ed. Avenge Common Sense Ve untanding 0 Very Good 0 Average 0 Below Average Seriousness of Puryose 2<tintanding 0 Very Good 0 Avenge El Below Avenge Reaction to Crittrawn a tOttrarading 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.fr ed Aseltd, Ate f-ld Marate) AztLizeSel „.eas Jp orzezanv / Otl-at) fr ed-Psy signature daiglialare 01 leacher 1a7-7/ an cc ."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 EFTA00089970 FLA$HCOMP by AD CENTER FORT LAUDERDALE PHOTO by MARK HILL EFTA00089971 yt goy 1 8 RECD Application for Admission "Abrilb —8246500" /*- 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 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 10- Apphanc International students: When providing telephone number, include the country code and City the city code before the FeWualort local telephone number. I.Z complete be Jun. Hays you puvroody attended Interlothen Arts Camp (excluding All-Sued? Ilices O No Yours) wended year/ na, I I Cameo of onsenship Country of birth 5WEDIS H Prmaser Hammer Ma") m home 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 o4-her niteRtoR DECORATOR Mother or Guud ran (note relationship) Name Home strut etacteta PM-M REACH City SELF- EMPLOYED Name of Employer Office Telephone: Arta Code • Number N Office Fax: Area Code • Number Father or Guardian Mote Matronship) Name Occupation Home Strut Address City State Zap mme 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 o ther nue of . ability. inderendteft. etc.' IAai 'f dest. 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 e llas had dote association with older children Er/wager children anisildren his or her own age NO Is 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. SchFA Rec C V)./ / Ta a For Internal Use Amt Re< D yd Vidto • S Rea Work tv 4 port • Ca( - IN 1000091 Reit, 1)i 8. 4113- EFTA00089972 Music Students VOCAL SIWG i W6 6 Years 4/ Maestro a- - Teacher's Street Address City State - Zip What is your secondary instrument or interest' Number of tears Studied Rufe : I (ital . Previous experience in Orchestra: Number a Wan Postition Previous experience in Band: Number of Years I Postition foenstd in orchestra. band or in ensembk within List two diffic.ult workscrts . 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. Mosle ms_ THEATRF . z blue inacitcairo.t oftwakt of ar4:iini experi era. 50 +0 +he Dance, Theatre & What is your primary interne) Describe previous training and experience in this an. Visual Art Students School o -C7orr+c ;or music and eccire . done CO PAmorus&S 1 tr Y14.44li 9i , rCor manner Slrlgin3, ?taxis , Skits j 424 c • Junior and Intermediate 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. 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 yogi division's section in the Camp Extra for a complete discussion of city. scheduling, prerequisites and audition requirements. li c:- CHORUS p l CHORUS 1. Session A (Intermediate: First Choice Major) Session B (Intermediate: Fine Choice Major) Please list Class Names MuSicAL- TI4EATRE in order of preference. Session A (Intermediate: Second Owe Majcc) < .2. Session B (Intermediate: Second Choice Major) Camp session A at left a---49 PERETTA M Camp session B ac right. 330 sv6c^ Tsui N 01..) es 3. SCISKXI B 23-7 VOCAL Tack QUES a 4. Session A 4 j. Session B 3 3 1; &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 O 4 • 30.min. lessons. Instrument: O4- lessons. O 4 - 6O.min. lessons. Ins< t: Sessio.v 1(1 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: L. Fill{ Choice Major Course Name Instrument (if applicable) 1. Minor Count Name At left: list Class Names in order of preference. 2.5<cond Choice Major Count Name Instrument (if applicable) 2. Minor Course Name Minor Courses: 3. Third Choice Major Course Name I Instrument Of applicable) 3. Minor Coupe Name At right: list Class Names in order of preference. 4. Minor Course Name S. Minor Course Name Private Lessons? O 8-30-min. private lessons. 111StIlltnalt: ❑ 8-60-min. private lessons. Instrument: Additional References given to whom? 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: L cm No application can be processed without the / 0 /31/94 signatures of Applicant and Parent or Guardian. Applicant Signatire Dare I bate ansurrni :he qurstiou nn this application to the but of my ability 1 bow read Ibis appl=i tn iarfore and correct to the Mt of Pry Send Admission and brimr my stutters are true and correct. knouledge. I tapport this stades:ft application to the Interlethen Ant Camp. Materials to: Acirmsi:ons Office 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. EFTA00089973 FElawimm . Application for Admission 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 are welcome and will be reviewed on a rolling admission basis. Send all materials to: Admissions Offic MAR 01 clog Complete address and phone information are on the bac 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 Pnnt Card Holder Name Cud Holder Signature C. Signatures We cannot pubs year application 1I/A/IC- are Pare ua re DoT tiirboat the riAnalsaa of Applicant and ParnmGuardian. I hateea:tarred the qiectiom thrUpplicarion to the bat ofmy 1ham mad:bit application and the and corny to she bar ofmy ability audMina my amen are true and tomer. knowledge. I tamer shit tradma's application to r Intaltaben Arts Camp. Applicant Information What ivision are you applying for? 0 Junior Session A 0 Junior Session B ❑ Intermediate Session A 0 Intermediate Session B High School Advanced Seeing Quanet 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 Sea Zip the city code before the local telephone number. <phone' Area Code • Num Fax Number: Arm Code • Number GrxT'ARQFted by June. Age F . pplicant Saul Security Number Nickname tl i tthillEC (TIMM cur year (0 0 No FLOC you prevroudy attended Interact:en Arts Camp (excluding All.State)? Write ,tan attended: 2. (gig, igelsr)
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e19dcf07b1a1552c3b8ff857a53bb68f519738c582980efe5bcb8e6df8545271
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EFTA00089964
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DataSet-9
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14

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