2017 Boysie New Resident Application
*All items marked with a red star are required.
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Instrument *
Applicants may apply on ONE instrument only.
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Your answer
Ethnicity *
Check all that apply.
Required
Email Address *
Your answer
Cell Phone Number
Your answer
Home Phone Number
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Undergradate School Attend(ed)
Your answer
City, State of Undergraduate School
Your answer
Date of Undergraduate Graduation (expected)
Your answer
Undergraduate Degree earned (expected)
Your answer
Graduate School Attend(ed)
Your answer
City, State, of Graduate School
Your answer
Date of Graduation from Graduate School (expected)
Your answer
Graduate Degree earned (expected)
Your answer
High School Attend(ed) *
Your answer
City, State of High School *
Your answer
Date of graduation from High School (expected) *
Your answer
Link to Drop Box Folder Containing required Audio Files
Information on the required recordings can be found here, http://boysieloweryjazzresidency.com/participants/application-process/
Your answer
Essay #1: Summarize your musical experience.
Maximum of 500 words.
Your answer
Essay #2: Where do you see your relationship with jazz in 10 years?
Maximum of 500 words.
Your answer
Under 18yo: Full Name of Parent/Guardian
Your answer
Under 18yo: Address of Parent/Guardian
Your answer
Under 18yo: Phone number of Parent/Guardian
Your answer
Under 18yo: Email address of Parent/Guardian
Your answer
By entering my full name in the space below I confirm that all information contained in this application is true and accurate. *
Your answer
Under 18yo please have Parent/Guardian sign: By entering my full name in the space below I confirm that all information contained in this application is true and accurate.
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