Test Page Test Page 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: "Brooklyn Monday, April 16,3:30-7:30pm, Bishop Loughlin Memorial High School, 357 Clermont Ave, Brooklyn, NY 11238""Brooklyn Tuesday, April 17,3:30-7:30pm, Berkeley Carroll School, 181 Lincoln Place, Brooklyn, NY 11217""Brooklyn Wednesday, April 18,3:30-7:30pm, KIPP AMP Middle School, 1224 Park Place, Brooklyn, NY 11213""Brooklyn Thursday, April 19,3:30-7:30pm, Roy H. Mann Intermediate School 78, 1420 East 68th Street, Brooklyn, NY 11234""Brooklyn Friday, April 20,3:30-7:30pm, Bishop Loughlin Memorial HS, 357 Clermont Ave, Brooklyn, NY 11238""Bronx Monday April 16,3:30-7:30pm, Riverdale Country School, 5250 Fieldston Rd, Bronx, NY 10471""Bronx Tuesday April 17,3:30-7:30pm, South Bronx Academy for Applied Media/MS 296, 778 Forest Ave, Bronx, NY 10456""Bronx Wednesday April 18,3:30-7:30pm, KIPP Academy Middle School, 250 East 156th Street, Bronx, New York, NY""Bronx Thursday April 19,3:30-7:30pm, Mind-Builders Creative Arts Center, 3415 Olinville Ave, Bronx, NY 10467""Bronx Friday April 20,3:30-7:30pm, MS 363 Academy for Personal Leadership and Excellence, 120 E 184th St, Bronx, NY 10468""Manhattan Monday, April 16,3:30-7:30pm, Harlem School of the Arts, 645 St Nicholas Ave, New York, NY 10030""Manhattan Tuesday, April 17,3:30-7:30pm, J.H.S. 167 Robert F. Wagner School, 220 E 76th St, New York, NY 10021""Manhattan Wednesday, April 18,3:30-7:30pm, Harlem School of the Arts, 645 St Nicholas Ave, New York, NY 10030""Manhattan Thursday, April 20,3:30-7:30pm, Washington Heights Expeditionary Learning Center, 511 W 182nd St, New York, NY 10033""Manhattan Friday, April 21,3:30-7:30pm, Wadleigh Secondary School For The Performing Visual Arts, 215 W 114th St, New York, NY 10026" Preference 2: "Brooklyn Monday, April 16,3:30-7:30pm, Bishop Loughlin Memorial High School, 357 Clermont Ave, Brooklyn, NY 11238""Brooklyn Tuesday, April 17,3:30-7:30pm, Berkeley Carroll School, 181 Lincoln Place, Brooklyn, NY 11217""Brooklyn Wednesday, April 18,3:30-7:30pm, KIPP AMP Middle School, 1224 Park Place, Brooklyn, NY 11213""Brooklyn Thursday, April 19,3:30-7:30pm, Roy H. Mann Intermediate School 78, 1420 East 68th Street, Brooklyn, NY 11234""Brooklyn Friday, April 20,3:30-7:30pm, Bishop Loughlin Memorial HS, 357 Clermont Ave, Brooklyn, NY 11238""Bronx Monday April 16,3:30-7:30pm, Riverdale Country School, 5250 Fieldston Rd, Bronx, NY 10471""Bronx Tuesday April 17,3:30-7:30pm, South Bronx Academy for Applied Media/MS 296, 778 Forest Ave, Bronx, NY 10456""Bronx Wednesday April 18,3:30-7:30pm, KIPP Academy Middle School, 250 East 156th Street, Bronx, New York, NY""Bronx Thursday April 19,3:30-7:30pm, Mind-Builders Creative Arts Center, 3415 Olinville Ave, Bronx, NY 10467""Bronx Friday April 20,3:30-7:30pm, MS 363 Academy for Personal Leadership and Excellence, 120 E 184th St, Bronx, NY 10468""Manhattan Monday, April 16,3:30-7:30pm, Harlem School of the Arts, 645 St Nicholas Ave, New York, NY 10030""Manhattan Tuesday, April 17,3:30-7:30pm, J.H.S. 167 Robert F. Wagner School, 220 E 76th St, New York, NY 10021""Manhattan Wednesday, April 18,3:30-7:30pm, Harlem School of the Arts, 645 St Nicholas Ave, New York, NY 10030""Manhattan Thursday, April 20,3:30-7:30pm, Washington Heights Expeditionary Learning Center, 511 W 182nd St, New York, NY 10033""Manhattan Friday, April 21,3:30-7:30pm, Wadleigh Secondary School For The Performing Visual Arts, 215 W 114th St, New York, NY 10026" Preference 3: "Brooklyn Monday, April 16,3:30-7:30pm, Bishop Loughlin Memorial High School, 357 Clermont Ave, Brooklyn, NY 11238""Brooklyn Tuesday, April 17,3:30-7:30pm, Berkeley Carroll School, 181 Lincoln Place, Brooklyn, NY 11217""Brooklyn Wednesday, April 18,3:30-7:30pm, KIPP AMP Middle School, 1224 Park Place, Brooklyn, NY 11213""Brooklyn Thursday, April 19,3:30-7:30pm, Roy H. Mann Intermediate School 78, 1420 East 68th Street, Brooklyn, NY 11234""Brooklyn Friday, April 20,3:30-7:30pm, Bishop Loughlin Memorial HS, 357 Clermont Ave, Brooklyn, NY 11238""Bronx Monday April 16,3:30-7:30pm, Riverdale Country School, 5250 Fieldston Rd, Bronx, NY 10471""Bronx Tuesday April 17,3:30-7:30pm, South Bronx Academy for Applied Media/MS 296, 778 Forest Ave, Bronx, NY 10456""Bronx Wednesday April 18,3:30-7:30pm, KIPP Academy Middle School, 250 East 156th Street, Bronx, New York, NY""Bronx Thursday April 19,3:30-7:30pm, Mind-Builders Creative Arts Center, 3415 Olinville Ave, Bronx, NY 10467""Bronx Friday April 20,3:30-7:30pm, MS 363 Academy for Personal Leadership and Excellence, 120 E 184th St, Bronx, NY 10468""Manhattan Monday, April 16,3:30-7:30pm, Harlem School of the Arts, 645 St Nicholas Ave, New York, NY 10030""Manhattan Tuesday, April 17,3:30-7:30pm, J.H.S. 167 Robert F. Wagner School, 220 E 76th St, New York, NY 10021""Manhattan Wednesday, April 18,3:30-7:30pm, Harlem School of the Arts, 645 St Nicholas Ave, New York, NY 10030""Manhattan Thursday, April 20,3:30-7:30pm, Washington Heights Expeditionary Learning Center, 511 W 182nd St, New York, NY 10033""Manhattan Friday, April 21,3:30-7:30pm, Wadleigh Secondary School For The Performing Visual Arts, 215 W 114th St, New York, NY 10026" 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