Application for Private Instruction Program (Spring 2019)

Welcome! Your application is now in progress.
Thank you for considering Global Music Institute (GMI)!

A few things to keep in mind as you fill out this application:

1) You can submit your application only once—once submitted, you will not be able to make changes to your application information.

2) Once you have completed this application form to your satisfaction, you should submit your application by clicking the "Submit" button at the end of the application.

3) A confirmation email will follow successful submission of an online application.

Please select *
First Name *
Your answer
Last Name *
Your answer
Your email address *
Your answer
Current city of residence *
Your answer
Permanent Address *
Your answer
Current Occupation *
Your answer
Mobile Number *
Your answer
Primary Instrument *
Emergency Contact Name *
Your answer
Emergency Contact Mobile Number *
Your answer
Date of Birth (mm/dd/yyyy) *
MM
/
DD
/
YYYY
Education Background *
How long have you been performing on your primary instrument? *
Have you taken lessons privately before? If yes, for how long and from whom/where? *
Your answer
How many hours do you practice every day or every week? *
Your answer
Why do you want to learn from our faculty at GMI? *
Your answer
Please provide any video links of your performances/demos, etc. (Youtube channel or any social media link will also do) *
Your answer
How did you hear about this program? *
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