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2020-2021 High School Application
1
Student's Name
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First Name
Last Name
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2
Student's Email
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example@example.com
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3
Student's Date of Birth
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Date
Month
Day
Year
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4
Gender
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5
Applying for Grade (2020-2021)
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9
10
11
12
9
10
11
12
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6
Current grade (2020-2021)
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9
10
11
12
9
10
11
12
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7
Please indicate your current school status
Currently a NYCDOE student
Currently a private school student
I plan to move to NYC and attend a NYCDOE school during the 2020-2021 school year
Currently a NYCDOE student
Currently a private school student
I plan to move to NYC and attend a NYCDOE school during the 2020-2021 school year
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8
Current School
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Please enter the name of your school and the IS, PS or MS number, if known. For example: PS 161.
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9
Name of Parent/Guardian 1
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First Name
Last Name
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10
Relationship to Applicant
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11
Email for Parent/Guardian 1
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example@example.com
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12
Name of Parent/Guardian 2
First Name
Last Name
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13
Relationship to Applicant
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14
Email for Parent/Guardian 2
example@example.com
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15
Student Address
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Street Address (please include apartment number, if applicable)
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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16
Primary Contact Phone Number
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Area Code
Phone Number
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17
Alternate Phone Number 2
Area Code
Phone Number
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18
Alternate Phone Number 3
Area Code
Phone Number
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19
Which concentration(s) are you applying for? Note: A separate audition is required for each of the three concentrations. Within one instrumental audition time slot, you may audition on more than one instrument.
*
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Instrumental
Vocal
Composition
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20
Your Audition Instrument - Students may audition on more then one instrument, but they should only select one time slot.
*
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Piano
Violin
Viola
Cello
Percussion
Guitar
Flute
Oboe
Clarinet
Basson
Alto Saxophone
Tenor Saxophone
Trompet
Trombon
Tuba
Fresh Horn
Other
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21
Please check off any of the activities you have participated in outside of your school:
Private Lessons
Juilliard Precollege
MSM Precollege
Mannes Precollege
Youth Orchestra/Symphony
Summer Music Camp
Masterclasses
Music Camps
Youth Jazz Program
Chamber Music
Other
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22
Please give details about the "outside of school" activities you selected. For example: Which precollege did you attend? What Master Classes have you performed in? What summer camp did you attend and the dates of attendance?
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23
Please check off any of the activities you have participated in at your school:
Concert Band/Wind Ensemble
Orchestra
Choir
Jazz Band/Ensemble
Jazz Choir
Music Theory Class
Music Technology Class
Ear Training/ Sight Reading Class
NYSSMA Adjudication
Improvisation
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24
Please share some details about your response(s) to the "in school activities" you selected. For example how many years you participated. If you have done a NYSSMA Solo & Ensemble adjudication, please tell us which level piece you chose to perform.
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25
If you study with a private teacher, please provide the name of your teacher and how many years you have studied with them.
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26
Please share with us some of the repertoire you have performed in the past two years. Be sure to include the titles of the pieces and the composers.
*
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27
Please share with us 1 or 2 video recordings that best reflect your current playing ability. The recording should be through unlisted or public Youtube links. Be sure to include the titles of the pieces and the composers.
*
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28
Cancellation Policy
Due to our extremely limited space, if you miss your appointment day or time without notice, we will not be able to see you for a future appointment and may remove your child from consideration for admissions to Special Music School. By completing the below fields, your electronic signature confirms your understanding of this policy.
First Name
Last Name
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