Complete this form, then continue as directed to online deposit
payment |
Applicant
Name |
Male
Female |
Date
of Birth |
(00/00/00) |
Parent
Names |
|
Address |
|
City/ST/Zip |
|
Home
Phone |
|
Parent's
Cellphone |
|
Parent's
Work Phone |
|
Parent
Email |
|
Student's
Email |
|
Student's
Cellphone |
|
Instrument |
Years
of study
|
Private
Teacher's name |
|
Teacher's
phone |
|
Teacher's
address |
|
Teacher's
City/ST/Zip |
|
Teacher's
Email |
|
School/Univ |
|
Grade
level |
|
How
did you hear about CMITM? |
|
| |
|
MITM
Program |
Application
Fee $50 ($65 after May 5) |
| |
3-Week Conservatory Strings ( Jul 8-July 29 +Chamber music) $950 |
| |
2-Week Conservatory Strings (Jul 8 -Jul 22) $765 |
| |
3-Week Piano Institute ( Jul 8 -July 29 +Chamber music) $950 |
| |
2-Week Piano Institute (Jul 8 -Jul 22) $765 |
| |
APPLYING
FOR YOUNG ARTIST COMPETITION $35 |
Kids
with Stings Attached |
Application
Fee $35 ($50 after June 3) |
| |
Discovery
- No Experience ($160) |
| |
One Week Session I July 15 - July 21, Orientation July 15 |
| |
Beginner
- Little Experience
-Indicate title
of current piece in Comments ($160) |
| |
One Week Session I July 15- July 21, Orientation July 15 |
| |
String
Improvement class
- Indicate title
of current piece in Comments |
| |
Two Weeks July 8 - July 21 ($300) |
| |
One Week Session I July 8 - July 13 ($160) |
| |
One Week Session II July 15- July 21 ($160) |
| |
|
| |
Student
(also select program above) |
| |
Parent
(also select program above) ($45/week) |
| |
Educator
(also select program above) ($35/week) |
| |
|
| |
Request Scholarship Application Form (Tuition only)
(Four Corners area applicants must contact Music in the Mountains
office 970-385-6820, to request scholarship form.) |
| |
|
Housing |
I will commute from local area (local residents only) |
| |
On Campus in a dorm 3 Weeks $1280 |
| |
On Campus in a dorm 2 Weeks $970 |
| |
Family 1 bedroom apartment 2-Week stay $75/day |
| |
Family 1 bedroom apartment 3-Week stay, $75/day |
| |
Family 2 bedroom apartment 2-Week stay $90/day |
| |
Family 2 bedroom apartment 3-Week stay, $90/day |
Transportation
to/from Durango |
Airline,
Driving |
Comments |
|
| If
accepted as a student of the New Conservatory of Dallas (NCD) and
a participant in the Conservatory Music in the Mountains 2012 session,
I agree to abide by the regulations of NCD. I agree not to bring
any alcoholic beverages on the premises of Fort Lewis College in
Durango, CO, or to possess or to engage in the unauthorized use
of drugs or controlled substances while a student of NCD. NCD reserves
the right to immediately expel any student for violations of its
rules and regulations without refunding any part of the tuition
of fees paid. Consent is hereby given for the applicant, while a
student with NCD, to participate in NCD sanctioned programs without
compensation and for photographs/video/audio captured by NCD to
be used in any NCD materials. I understand that all balances must
be paid in full by June 3. |
APPLICATIONS WILL BE PROCESSED ONLY
WHEN
ACCOMPANIED BY PAYMENT OF APPLICATION FEE!
|
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