EFTA00090254 ## Application for Admission A $^{S#}$ 269116 $^{M#}$ A269850 $^{F#}$ Answer all questions below. The application deadline for first priority review is February 15. Applications made after this date are welcome and will be reviewed on a rolling admission basis. See the “Admissions” section of the Camp Extra (page 2) for complete application and financial aid information. Sorry, but we cannot process an incomplete application. Applicant Information Are you applying for Financial Aid? Yes No Have you applied for The Governor's Scholar Program? Yes No International students: When providing telephone number, include the country code and the city code before the local telephone number. FL. State Zip Name of brother and their ages. Name of sister and their ages. Have you previously attended Interlachen Arm Camp (including All-State)? Yes No Year(s) intended 1 year/1994 International Applicants Only Country of birth Secondary language (if any) spoken at home Full name of a contact person in the United States Home Telephone: Area Code + Number (For available!) Parent or Guardian Information Father or Guardian (name relationship) Name Occupation Home Street Address City State Zip Name of Employer Office Telephone: Area Code + Number Office Fax: Area Code + Number Personal Information Now any physical, psychological, medical or other condition requiring special attention or care needs to stay awake, fear of course, bad warning etc.? She adopts extremely well and quickly, good self-worth and ability and is very independent. How do you see your child in terms of personal adjustment, such as his/her name of self-worth, ability, independence, on ? How do you see your child in terms of social adjustment? Has many friends Has few friends Has one or two close friends Has had close association with older children Younger children Children his or her own age NO Is there any phase of personal or social adjustment which you hope Camp will aid? Please give any information that might be helpful in guiding the educational and personal development of your child. For Internal Use Sch/PA Rec C Tape # MA/T Amt Rec D Video # Rec Work Rec N/Pus # 1:20 NO CR # 4675 SX Ack. 18 KB INT000091 EFTA00090255 # Music Students **VOCAL/SINGING** 6 years **Teacher's Street Address** Piano City Name 3 years Zip What is your secondary instrument or interest? Number of Years Seated Previous experience in Orchestra: Number of Years / Position Previous experience in Band: Number of Years / Position List two difficult works performed in orchestra, based on an example within this area: 1. Netta's Haze has been very difficult for me. I am at high level of reading music. 2. List two difficult solo pieces you have performed of primary instrument or song. Musical Theatre: I have had fairly amount of acting experience. I go to the School of Arts for music and theatre. I've done commercials, many performances, singing, plays, skits, etc. I've been in New York Broadway. ## Dance, Theatre & Visual Art Students What is your primary interest? Previous training and experience in this area. Students in the Junior Division will be assigned three periods of classes, including private lessons. Students who complete grade 6 have the option of selecting an additional class in place of recreation. Please refer to your planner of classes, including private lessons. Students who complete grade 4 have the option of selecting an additional class in place of recreation. Please refer to your planner of classes, including private lessons. Students who complete grade 3 have the option of selecting an additional class in place of recreation. Please refer to your planner of classes, including private lessons. Students who complete grade 2 have the option of selecting an additional class in place of recreation. Please refer to your planner of classes, including private lessons. Students who complete grade 1 have the option of selecting an additional class in place of recreation. Please refer to your planner of classes, including private lessons. ## Junior and Intermediate Class Schedule Please list Class Names in order of preference: Camp session A at left. Camp session B at right. Chorus 1. Session A (Intermediate: First Choice Major) MUSICAL THEATRE OPEREITTA VOCAL TECHNIQUES MODERN DANCE (minor) 2. Session B (Intermediate: First Choice Minor) MUSICAL THEATRE MUSIC THEORY (ADVANCED) VOCAL TECHNIQUES MODERN DANCE (minor) Private Lessons? - 0-30-min. Instruments: Instrument - 4-60-min. Instruments: Instrument - It doesn't matter which Session! High School Class Schedule High School students will be assigned five periods of classes, including private lessons. Please refer to your division's section in the Camp Extra for a complete discussion of classes, scheduling, preparations and audition requirements. Note the Camp does not guarantee participation in more than one major activity. Major Courses: At left; list Class Names in order of preference. Minor Courses: At right; list Class Names in order of preference. Private Lessons? - 8-30-min. Private lessons: Instrument - 8-60-min. Private lessons: Instrument. ## Additional References given to whom? Name of person in receipt of Artistic Recommendation form "C": Home Telephone: Area Code + Number Name of person in receipt of Academic Recommendation form "D": Home Telephone: Area Code + Number How did you first learn about Instruments? Optional: Applicant please indicate: Asian American Black African American Chinese Mexican American Puerto Rican No application can be processed without the signatures of Applicant and Parent or Guardian. Send Admission Materials to: Administration Office Credit Card Number and Name Please enclose the required $225 with your application. See page 2 of the Camp Extra for a complete discussion of Camp cost and refund policy. Your check is payable. Expiration Date