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MMSI Artist Networking & Mentor Initiative- Students Application
This application is for students ages 13-19 years of age only.
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* Indicates required question
Name of Student
*
Your answer
Age
*
Your answer
Brief description of the type of work and focus/ Inspiration
*
Your answer
Address
*
Your answer
Telephone Number
*
Your answer
Email Address
*
Your answer
Your answer
Parental Permission
Parent(s) Name
*
Your answer
Please check all that apply
Student / Parental permission to utilize my image, artwork, and recorded video on MMSI’s website and promotional material to further market our initiative.
I hereby grant MMSI Artists Networking and Mentoring Initiative permission link my website to MMSI’s website (if applicable).
Contact Us
If you have questions or are interested in participating in the MMSI Artist Networking & Mentor Initiative, please contact Nathalie Lilavois (New York Metro Area; Long Island) or Kim Bright (DC, Southern MD or Northern VA)
malikmelodies@gmail.com
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