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Student first name:

Student last name:

Date of birth:

Current grade (2017-18):

Grade (2018-19):

Instrument:

Parent or guardian(s) first name(s):

Parent or guardian(s) last name(s):

Home Phone Number:

Work Phone Number:

Parent Cell (1):

Parent Cell (2):

Parent email (1):

Parent email (2):

Mailing Address:
Street:

City:

Zip Code:

Name of Middle School:

Name of music program:

Music teacher, band director, or guidance counselor's name:

Music teacher, band director, or guidance counselor's email:

School Address:
Street:

City:

Zip Code:

Part 2

Parents/Guardians: You must include a copy of the first two pages of your most recent tax form (2017 or 2018) indicating total annual household income.

Applications submitted without income verification will not be considered.
You can submit your tax form by postal mail or fax.

Mailing Address:
Middle School Jazz Academy
Jazz at Lincoln Center
3 Columbus Circle
Suite 1200
New York, NY 10019

Fax number: 212-258-9900
ATTN: MSJA

Part 3

To be completed by the student. Download and print this PDF. All answers must be neatly handwritten in the space provided, and brought with you to your first round audition. Download the part 3 PDF.

Part 4
To be completed by music teacher, band director or guidance counselor.

Answer the questions below and email:

Identify Student’s Name and School/Organization
How many major scales can your student comfortably play?
Describe your student’s ability to play by ear and read music.
Why should your student be admitted to the Middle School Jazz Academy?

Email:
msja@jazz.org
SUBJECT: MSJA STUDENT RECOMMENDATION

Student auditions run approximately fifteen minutes and will include the following:

Performance
Perform two contrasting pieces of the student’s choice
Scales
Play three different major scales
Sight Reading
Sight read a song consisting of simple rhythms and melodic ideas
Melodic and Rhythmic Patterns
A faculty member will tap a series of short rhythmic patterns and melodies and the student will repeat them
Verbal
Students should be prepared to answer the question, “What would you like to learn about jazz?”

After the first round of auditions, a limited number of students will be invited via mail and/or phone to return for a callback audition and a family interview.

Part 5
Auditions
Preference 1:

Preference 2:

Preference 3:

Locations:

Auditions will take place at various schools across Manhattan, Brooklyn and Bronx. Site Coordinators will contact families directly to schedule audition date, time and location.

Part 6

I, the parent or guardian, certify to the best of my ability that the information in this application is correct, and electronically sign my name below:

I verify that I am 13 years of age or older