YMP - Application

APPLICATION FORM

Thank you for your interest in the Youth Mentorship Program!

This form requires information from both the Applicant to the program and from the from the Music Teacher/Referee. The Music Teacher/Referee may be contacted by email for a Letter of Reference.

* Indicates required field

Applicant's Name *

First

Last

Applicant's Email *

Applicant’s phone numbers: Home *

Applicant’s phone numbers: Cell *

Applicant’s date of birth: *

Instrument(s): *

Grade/Level (if applicable): *

Name of School/Educational Institution: *

Number of years played: *

Music Teacher/Referee: *

Music Teacher/Referee email: *

If the applicant is under 18 years of age, please have your parent/guardian sign here:

Parent or Guardian (Digital signature) *

Relationship: *

Phone Number: *

Select One *

TO BE COMPLETED BY THE APPLICANT
Please respond to the following questions as concisely as possible:

Why do you want to participate in this program? What do you hope to achieve? *

Can you commit to the time requirements of the Youth Mentorship Program? This may involve between 2 and 6 hours per month for approximately 6 months. *

What future career goals do you have at this time? *

Are you involved in any other musical activities? *

Is there additional information that we should know about in terms of physical or health-related accommodation? *

Submit

YOUR CART

APPLICATION FORM​

Thank you for your interest in the Youth Mentorship Program!This form requires information from both the Applicant to the program and from the from the Music Teacher/Referee. The Music Teacher/Referee may be contacted by email for a Letter of Reference.​

​If the applicant is under 18 years of age, please have your parent/guardian sign here:

​TO BE COMPLETED BY THE APPLICANTPlease respond to the following questions as concisely as possible:

APPLICATION FORM

Thank you for your interest in the Youth Mentorship Program!

This form requires information from both the Applicant to the program and from the from the Music Teacher/Referee. The Music Teacher/Referee may be contacted by email for a Letter of Reference.

If the applicant is under 18 years of age, please have your parent/guardian sign here:

TO BE COMPLETED BY THE APPLICANT
Please respond to the following questions as concisely as possible: