APPLICATION FEE €25.00 PER APPLICANT (Non-refundable)
AUDITION TIME (T) CEOL-ACADAMH RÍOGA NA hÉIREANN AUDITION TIME (P)
THE ROYALIRISHACADEMY OF MUSIC
36/38 Westland Row, Dublin 2
Tel:(01) 632 5300 Fax: (01) 662 2798
APPLICATION FOR ADMISSION AS AN INTERN STUDENT FOR ACADEMIC YEAR 2006/2007
PLEASE RETURN TO THE GENERAL OFFICE AT THE ABOVE ADDRESS WITH CHEQUE/POSTAL ORDER FOR €25.00 PAYABLE TO RIAM BY 31st MARCH 2006
PERSONAL DETAILS
1Name of Applicant (BLOCK CAPITALS) ………………………………………………………………………………
2FULL Postal Address ...... …………………...... ………………….……..………….….…
……...... ……………………..……...... County……………………….
3Phone No (Home) ……...... …...... (Place of Work)…………………………Mobile…………………….…….
4E-mail Address………………………..………………………………… Fax Number………………………….………
5Date of Birth of Applicant ...... ……...... Male/Female………….…………Nationality…….………….………...
6Present occupation or course of study - if study please indicate if you are at NationalSchool, studying for
Junior/Leaving Certificate, Diploma/Degree etc.
...... …………………………...... ……………………….………
7Subject(s) and/or Instrument(s) you wish to study at the Academy (Piano, Singing, Violin, Speech & Drama etc.)
(1) ...... ………………....……….……...... (3) ...... …………..………….……...... ………......
(2) ...... ………………….……… (4) ...... …….………………….……………......
Note: STUDENTS MUST ATTEND MUSICIANSHIP CLASSES AT THE COMMENCEMENT OF THE ACADEMIC YEAR IN
WHICH THEY WILL BE 8 YEARS OF AGE. ATTENDANCE AT THESE CLASSES IS OBLIGATORY FOR ALL UNTIL
THEY HAS SUCCESSFULLY PASSED LEVEL 7. (FULL DETAILS AVAILABLE FROM THE GENERAL OFFICE).
8Signature ...... …………………...... ………...... Date ………………...……………......
(Signature of Guarantor if applicant is under 18 years of age)
9Guarantor’s Occupation……………………………………………………………………………………………………
10Guarantor’s FULL Postal Address (if different from above) ……...... …………..………......
...... ……………………..……………………………………………………………………………….………..……
11Phone No (Home) ……...... ………...... (Place of Work)…...... ………...Mobile……...……………......
PLEASE PRINT ABOVE SIGNATURE (BLOCK (CAPITALS)...... ………………………….………...…......
The right is reserved to hold auditions/interviews. The RIAM will contact only those applicants called for audition/interview and who have been successful. If a place is offered, it may not necessarily be with a teacher of your stated preference. Successful applicants are taken on a year’s trial. Unplaced applicants may re-apply. All information provided will be treated in the strictest confidence.
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OFFICE USE ONLY
12Have You Appropriate Instrument(s) YES/NO 13 Have you practice facilities YES/NO
14Are You a Beginner YES/NO (If no please complete sections a, b,c,d)
(a)How long you have played (b) What standard you are currently at
(c)Please list relevant Grade/Diploma Examinations taken to date
Name of Examining Authority ...... …………………………...... Instrument/Subject..……………...…………….....….
YEAR
/ GRADE / MARK OBTAINED(d)Please list relevant Performance/Competitions Feiseanna etc
Performance/Competitions/Feiseanna etc ...... …………...... …...... Instrument/Subject ………………………………...
YEAR
/ GRADE / MARK OBTAINED15Details of Any Recent Written Theory Examinations ……………………………………………………………………
………………………………………………….……...... …………………………………...…....….………
16Names of Previous or Present Teacher(s). Give Approximate Dates of Study and Standard.
...... …………………...... ……………………………….……………… 17 If You Wish To Be Taught By Any Particular Academy Teacher(s) Give Name(s) in order of preference:
(1)...………………...... …………………....…………...... (2)....……….....…………………...... …………......
(3)…………………………………………………………….(4)……………………………………………………………
18Please Indicate Days and Times You Are Available For Lessons.
...... …………………………….………...... …………………………………......
19Have You Made Previous Application For Admission YES/NO If YES please give details
...... …………………...... …………………………………...... ……………......
20Have You Previously Studied At The Academy? (Give Precise Details of any subject)
...... ………………...... ……………………………………………….....
21Any Other Information You May Consider Helpful (eg Experience in any other instrument(s), Choir, Band, Orchestra, Broadcasts, Performances etc)
...... …………………...... ………………………………………… ...... ……………………...... ……………………...... …………
...... ……………………...... ………………………...... …………..…
OFFICE USE ONLY
A+ / A / A- / B+ / B / B- / C+ / C / C- / D+ / D / F / ACCEPT