12Petals Application Form

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Hello!
We are excited for you to join us and we’ll walk you through the registration form. Once you submit the application, you will receive a response from the 12Petals Team within 2 weeks of your registration.
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Image Field
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Which one fits you the best?- Youth Program: 13 - 22 years old. - Professional Program: with 1+ years of professional experience.
Youth Program
Professional Program
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Tell us about yourself
Full Name
Please Select
Please Select
Ms.
Mr.
Other
Title
Email
Country
Area of Residence
Age
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Parent / Guardian information
Full Name
Please Select
Please Select
Ms.
Mr.
Other
Title
Email
Country
Area of Residence
Phone number (including area code)
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Mentee photo uploadPlease ensure that a recently taken photo with clear background and high resolution is uploaded.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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When & how long is the mentorship program?

Our 3-month Project timeline is flexible and customizable to your needs.

If you'd like to add on another Project after, kindly fill in this form again.

How much does it cost?*

Any 3-month Project USD $475.00/ SGD $655.00

*Upon successful registration, we will send you payment details:
- Securing your spot is on a first-come, first-serve basis through payment of tuition fees.
- Mentees based in Singapore will have the option to pay tuition fees in SGD.

What is included in each Project (3-month period)?

- Exclusive lessons with 2 Mentors (limited to a 1-hour lesson per month per Mentor)
- Choose up to 2 focus areas to work on, to be selected from a wide range of available disciplines
- Free access to Fireside Chats, Workshops, Guest Artist Interviews, and more
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What time works best for you?You can select more than one.
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What time works best for you?E.g: April 2022- June 2022
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What instrument(s) do you play?List all that you play and please include proficiency [Beginner/ Intermediate/ Advanced].
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Which discipline would you want to focus on the most?Let us know your first choice. We'll ask for your second choice next.
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What else would you want to focus on?Let us know your second choice.
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How to upload Video to YouTube

1. Create a YouTube account
2. Upload your videos to your channel
3. Copy URLs and paste them here

Rename the title of your video as [first name_last name_name of composer_title of piece], eg. Evelyn Lee Beethoven Piano Sonata No. 1

If you need additional help, check out this tutorial.
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Video informationCreate a channel on YouTube and upload two videos of two different pieces.
Composer
Title of work
URL
Composer
Title of work
URL
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Next, we'll help you choose 2 mentors for each project

Take a look at our diverse mentors on 12 Petals website and let us know your top 3 preferences so we can best accommodate everybody.

If you are interested in more than one project, you can change mentors and work on different projects/issues in your second and/or third project. Let us know if you have different preferences for them.

*Disclaimer: There is no guarantee that you will be matched with the Mentor that you have listed. This is dependent on multiple factors including the Mentor’s availability and teaching preferences. The result of the Mentor-Mentee allocation is final and non-negotiable.
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Top 3 mentor preferences* This field is required.
Mentor #1
Mentor #2
Mentor #3
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Mentor preferences (optional) If you want to change topics and mentors for your 2nd and/or 3rd project(s), let us know your preferences.
Mentor #1 (2nd project)
Mentor #2 (2nd project)
Mentor #3 (2nd project)
Mentor #4 (3rd project)
Mentor #5 (3rd project)
Mentor #6 (3rd project)
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What would you like to achieve?Tell us more about your musical and/or artistic journey so far and what you hope to achieve through the 12Petals Program. Be as comprehensive as you can be, so that our mentors can have a better understanding of your background. There are no word limit.
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Terms and Conditions* This field is required.Registration: - Full payment is to be made before commencement of the mentoring session. - Mentees will receive12Petals Program payment details upon successful registration and matching of mentors from the 12Petals Team within 2 weeks of registration. - There will be no refund for any withdrawals made by the mentees at any point in time. - In the unlikely event of the mentor not being able to continue the mentorship, a replacement mentor will be assigned to you. Usage and submission of media: - Mentees are not permitted to circulate or post resources from the 12Petals Program without consent from the 12Petals Team. - When submitting any photographs/audio recordings/video recordings to 12Petals, you should: - Be the creator/owner of all the material submitted. - Have sought permission from the owner(s) when using material from another source or person. - Have sought permission from any person(s) included in your submitted material. Copyright to the materials submitted to 12Petals reside with the mentees. However 12Petals shall be granted a perpetual, irrevocable, nonexclusive, worldwide license, to use and distribute the materials contained in the entries, in full or partially, in various media of its choosing, including, but not limited to, newspapers, magazines, publications, radio, television, public screenings and any other electronic media including, but not limited to, the Internet, or for other purposes in a manner it deems fit in its communication to the public.
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Any 3-month Project	USD $475.00/ SGD $655.00