The Washington Jazz Arts Institute- Summer Jazz Mentor Program

June 26 – July 20, 2018

(Meets Tuesday – Friday 8am-2pm)

at

Peoples Congregational United Church of Christ 4704 13th Street, NW, Washington, DC 20011

Phone: 202-291-1949 - Fax: 202-744-3184

Application

Date _____________

Name _____________________________ Age ____ Last grade completed _____

E-mail ________________________ Birthdate and year _________________________

Main Instrument or voice ___________________ Secondary Instrument(s) _______________________

Applicant’s home and cell phone_____________________________________________________________________

Prior music training/experience and current and former instructors/programs __________________________________________________________________________

Why do you want to attend this program? __________________________________________________________________________

__________________________________________________________________________Parent/Guardian’s name _____________________________________________________________

Phone home/work/cell _________________________________________________________________

Home address and zip code

_________________________________________________________________

Please tell us how you learned about us?

____________________________________________________________________________________________________________________________________________________

Please submit your completed application by email to Jazz@DCJazzmusic.org or by fax to 202-291-7664. You will be notified of receipt and of dates for audition.

For questions or concerns, please contact us at Jazz@DCJazzmusic.org or at 202-291-1949.

Davey Yarborough, President and Artistic Director