Application Form for a DECD IM/ PSMF Ensemble in 2018

PLEASE BRING THIS FORM (COMPLETED) TO YOUR AUDITION –

DO NOT POST/FAX IT TO THE OFFICE

PLEASE ENSURE THAT YOU ENTERALL DETAILS CLEARLY TO AVOID CONFUSION

Name:______

Given Name Surname

DECD School in 2018:______Year Level in2018:______

Instrument:______I’ve played for: ______(how long?)

(NB: a separate form is required for each instrument)

Home Address: ______

Mobilecontact number/s:

Parent Name: ______Parent Number: ______

Student Number: ______(if applicable)

Major Parent Communication Email address(which is accessed regularly) REQUIRED

______

For ALL AUDITION Applicants(Please refer to the descriptions provided on the website)

Please complete all information on both pages and BRING TO THE AUDITION

I am auditioning for a position in: (Mark 1st selection and 2nd selection – if appropriate)

Flutes of FleurieuThe Adelaide Flute Ensemble*

Recorder Consort SA*Primary Schools Guitar Ensemble

SA Schools Concert Band*SA Schools Percussion Ensemble*

Primary Schools String OrchestraSecondary Schools String Symphony*

*SACE II students only: If you are intending to use your selected ensemble as a SACE II Ensemble Performance ensemble, please tick this box:

Primary Schools Music Festival Orchestra

If auditioning for a PSMF Orchestra: please circle your preferred Orchestra rehearsal site:

North: Klemzig IM officeCentral: TBC South: Blackwood HS

PLEASE TURN OVER… (Page 1 of 2)

For my audition, I will be playing: (Name of piece/s and scales if applicable)

______

______

Level achieved:(give details of method books used /exam grades etc.)

______

______

Please list any other ensemble experiences (on this or other instruments) and other instruments played(school, workshops, camps, community groups, choirs etc)______

______

______

Signatures –ALL SIGNATURESREQUIRED

Having read the information sheet, I hereby apply to join/ continue in: ______(DECD IM/ PSMF Ensemble Name)

If selected to become a member, I make a commitment to all activities

Student: ______(Signature)

We have read the information sheet and agree to fulfil all Ensemble commitments

Parent/Caregiver Name: ______ (Signature)

School information(Students in changing schools in 2018, please have your current Principal sign below)

I am aware of this student’s application to participate in a DECD IM/ PSMFMusic ensemble.

Principal: ______

(or Delegate)(Name)(Signature)

Instrumental Teacher: ______

(Name)(Signature)

Instrumental Teacher comments: students and parents should be aware of these comments.

(EG: Students instrument range, level achieved, experience/ time learning, etc)

Instrumental Teacher Contact Number: ______

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