Kinhaven Music School | Summer Programs | Junior/Senior Application

Senior Session | Junior Session
Adult Chamber Music Workshop | Adult Piano Workshop

2013 Junior/Senior Session Application

Instructions:
1. Fill out and submit your application online.
2. E-mail or mail your audition recording to:

Kinhaven Admissions Office
6 Elberta Road
Maplewood, NJ 07050

Reminder: Don't forget to send your audition recording!
Questions? E-mail us or call the office at (973) 378-5854

		SESSION
		Which session are you applying for? [Required]
		Junior	Senior

		APPLICANT'S INFORMATION [Required]
		First Name:
		Last Name:
		Boy	Girl
		Select grade to be completed in June 2013:

		Birthday: (mm/dd/yyyy) / /

		Student's E-mail:

		Student's Address:
		Address:
		City/Town:
		State/Province:
		Postal/Zip Code:
		Country: (If not USA)
		Student's Phone: ( ) - Please indicate whether this number is... Personal Family

		APPLICANT'S BACKGROUND
		What School Do You Attend?

		Major Instrument?
		Length of Study?
		Secondary Instrument?
		Length of Study?

		Private Teacher's Name:

		Street Address:
		City:
		State:
		Postal/Zip Code:
		Country: (If not USA)
		Phone: ( ) -
		Teacher's E-mail:
		How did you hear about Kinhaven?
		Name of Reference:

		APPLICANT'S GUARDIAN'S INFORMATION
		Parent/Guardian I

		Relationship to Student:
		Please enter "Other" relationship to student:
		Click here if address is same as student's address: Street Address:
		City:
		State (US):
		Postal/Zip Code:
		Country: (If not USA)
		Phone: ( ) - Please indicate whether this phone is: Mobile Landline Office
		E-mail:

		Parent/Guardian II Click here if Not Applicable:
		Name:
		Relationship to Student:
		Please enter "Other" relationship to student:
		Click here if address is same as student's address: Street Address:
		City:
		State (US):
		Postal/Zip Code:
		Country: (If not USA)
		Phone: ( ) - Please indicate whether this phone is: Mobile Landline Office
		E-mail:

		AUDITION INFO
		A representative piece of your choice, 5 to 10 minutes in length, that you will be playing (please describe). You have of 150 characters left.

		Please indicate your method of auditioning:
		I will send the audition recording.
		I plan to schedule a live audition.

		Additional Information:
		Study Materials Recently Completed: You have of 150 characters left.
		List your musical activities during the year: You have of 150 characters left.
		List Other Programs You've Attended: You have of 150 characters left.
		List 3 Favorite Foods (No Snacks): #1 #2 #3

Note: We will e-mail a copy of the information submitted to your e-mail address.

Questions? E-mail us or call the office at (973) 378-5854