Music Access Project and Project Bridge Application
Applications are due on April 15, 2024. Applying students must provide a completed form including family financial documents and a personal statement. Students selected from the application process will be invited for a live audition at Bloomingdale to be scheduled by the Program Director and Coordinator.
About MAP
About Project Bridge
Email
example@example.com
What year are you applying for?
2024-2025 School Year
Which program are you applying for?
Music Access Project
Project Bridge
Both
Which of the following best describes you?
I am a new student to Bloomingdale
I am currently enrolled as a Bloomingdale Student
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Student Information
Student Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Grade Level as of September 2024
School Name
Age as of Date of Application
Primary Instrument
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Student Email Address
example@example.com
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Parent/Guardian Information
Parent/Guardian 1 Name
First Name
Last Name
Parent/Guardian 1 Cell Phone Number
Please enter a valid phone number.
Parent/Guardian 1 Email Address
example@example.com
Parent/Guardian 1 Place of Employment
Parent/Guardian 1 Job Title
Parent/Guardian 2 Name
Parent/Guardian 2 Cell Phone Number
Please enter a valid phone number.
Parent/Guardian 2 Email Address
example@example.com
Parent/Guardian 2 Place of Employment
Parent/Guardian 2 Job Title
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Musical Experience
What instrument(s) do you play?
How long have you been playing?
Have you taken private lessons?
Yes
No
If so, where did you take lessons?
Teacher’s Name
Have you studied any other music subjects? If so, which?
Do you have any ensemble experience? If so, please list types of ensembles and what repertoire you played.
Are you a returning student to Bloomingdale?
Yes
No
Other
If so, with whom have you studied?
How did you hear about MAP & PB?
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General Information
How much time do you spend practicing daily, on average?
Do you own your instrument?
Yes
No
Do you enjoy performing?
Yes
No
Have you performed recently? If so, where?
What is your Grade Point Average?
Are you involved in any extra curricular activities?
If so, please list
How do you foresee music playing a role in your life in the future?
If you participated in NYSSMA, what was the last level and name of the piece that you played?
Please list any concerts, music programs, festivals and competitions that you have participated in and the pieces you performed in them.
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Personal Statements
Please explain why you would be a good candidate for the MAP or PB program.
Please explain what contribution you think your participation in MAP or PB would have to the Bloomingdale Community? What do you think the impact of this program would have on your life now and in the future?
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Audition Repertoire
Please list the compositions that you will be performing for your MAP or PB audition. Two pieces of contrasting style are required. Auditions are in person at Bloomingdale and will be scheduled individually by the Program Directors.
Audition Selection #1 Composition Title and Composer
Audition Video Selection #1
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Audition Selection #2 Composition Title and Composer
Audition Video Selection #2
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Financial Information
Parent/Guardian 1's annual salary before deductions
Parent/Guardian 1's yearly income from any other sources before deductions. Include rent from tenants, interest, dividends, royalties, gifts, etc:
Parent/Guardian 2's annual salary before deductions
Parent/Guardian 2's yearly income from any other sources before deductions. Include rent from tenants, interest, dividends, royalties, gifts, etc:
Financial document upload: 1040 and any additional forms
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TOTAL FAMILY INCOME MUST BE VERIFIED. Please attach a copy of your most recent Federal Income Tax Form 1040 as proof of income. Include all forms of assistance: public assistance, child support, alimony, etc. Your application cannot be processed without this information. All information will be held in the strictest confidence, however we recommend blacking out your social security number or using X's in place of the first five numbers.
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Notice and Confirmation
By submitting this form you affirm that all of the information you have provided on this form is true to the best of your knowledge. I understand that any false or misleading statements on this form may result in cancelation of the application. I also understand that I may not participate in any other pre-college music program during the duration of the MAP or PB programs. Finally, I understand that I will be required to attend the program at least two days a week after school.
Signature
Date
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Year
Date
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