MIC Summer JAMMS Application

Thank you for your interest in the MIC Summer JAMMS Program. Please read this introduction in its entirety.

Selection for the Summer JAMMS Program is highly competitive. Please take your time to fill out this application as thoroughly as possible so we can get to know you. All applications will be reviewed by a small panel of Music in Common staff and Board members and final selections will be made by the panel. If you have not yet participated in a Music in Common program, an interview will be conducted either in person or by video call.

Applications will be reviewed on a rolling basis as received. As such, we advise applicants to fill out their applications as soon as possible. Once your application has been reviewed you will be contacted by Music in Common executive director Todd Mack with further instructions. If this is your first time participating in a Music in Common program, applications are not considered complete until we have received a letter of recommendation for you from a teacher, community leader, or clergy member and your interview has been conducted. Decisions will be made by the April 15th enrollment deadline.

We are pleased to be able to offer a limited amount of financial aid for those who are unable to afford the full tuition cost of $3,900. However, please be advised that our resources are limited and there is no guarantee that we can provide aid for all who need it. All financial aid recipients will be required to organize a presentation in their communities about their experience in the summer program.

If you have, any questions please EMAIL US. Thank you and good luck.

Name *

Gender First Name Last Name

Date of Birth *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Home Phone *

Area Code Phone Number

Cell Phone *

Area Code Phone Number

E-mail *

Name *

Prefix First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Home Phone *

Area Code Phone Number

Cell Phone *

Area Code Phone Number

E-mail *

Music in Common celebrates and promotes diversity. Please tell us about yourself (religion, culture, ethnicity). *

Have you participated in a Music in Common program before? *

Yes No

If yes, when and where? *

What styles of music do you like? *

What styles of films do you like *

What musical instruments do you play, if any, and how long have you been playing *

Do you sing or rap? *

Yes No

Do you write songs, lyrics, poems, or stories? *

Yes No

What have you written about? *

Have you ever used a video camera *

Yes No

Have you ever interviewed someone? *

Yes No

Have you ever been interviewed? *

Yes No

Why do you want to attend the MIC Summer Program? *

What do you hope to gain from this experience? *

What do you think you can contribute to the Program? *

Please describe a previous experience that had a positive impact on your life and/or the lives of others. *

Can music and film create social change? Why or why not? *

Are you seeking financial aid for the Summer JAMMS Program? *

Yes No

How much financial aid are you requesting? *

Please check the box that best describes your family's annual income *

Not Applying for Financial Aid Under $50,000 $50,000 - $100,000 $100,000+

Please describe in detail how you will raise your portion of the funds needed? *

Please tell us why we should award you financial aid over other candidates? *

I certify that the above information is accurate and correct

Applicant signature (type name here) *

Parent / guardian signature. Applicant may sign if 18 or older (type name here) *

2017 SUMMER JAMMS PROGRAM

Applicant Information

Parent / Guardian Information

If you are not seeking financial aid, please answer "no" to the next question and answer N/A to all of the others until you reach the signature field. All applications must be signed.