Roots Studio Application
This is the general application to join The Roots of Music (TROM) Studio Academy. Please only submit one application per student. You must complete a new form for siblings and multiple applicants. The requirements for admission are as follows: -Students must live/attend school in Orleans Parish. -Students must qualify for free or reduced school lunch. -Students must be 14-18 years old.
Student Name
*
First Name
Last Name
Student Gender Identity
*
Male
Female
Other
Date Of Birth
*
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Age
*
Please Select
14
15
16
17
18
Student Ethnicity
*
Please Select
Black or African American
Native American
Caucasian
Native or Indigenous American
Hispanic or Latin American
Asian American or Pacific Islander
Other
Student Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Grade Level
*
Please Select
8th
9th
10th
11th
12th
School Attending
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Released Time
*
Hour Minutes
AM
PM
AM/PM Option
Parent/Guardian #1 Name
*
First Name
Last Name
Parent/Guardian #1 Email
*
example@example.com
Parent/Guardian #1 Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian #2 Name
First Name
Last Name
Parent/Guardian #2 Email
example@example.com
Parent/Guardian #2 Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
*
First Name
Last Name
Emergency Contact
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Student
*
Which instrument(s) does the applicant play, if any?
*
Piano
Flute
Clarinet
Saxophone
Trumpet
Trombone
Sousaphone/Tuba
Violin
Viola
Cello
Upright Bass
Drum Kit
None
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does the applicant have any prior knowledge of Recording Arts or using studio equiptment? If yes, please provide details. If there are none to list, please type "N/A"
*
Please list any known medical conditions or ailments to consider regarding the applicant. If there are none to list, please type "N/A" *Please note: All TROM students are subject to physical activities that range from moderate to strenuous. We must be aware of any medical conditions or ailments that may require exclusion from certain activities. A current medical physical is required to be on file.
*
Submit
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