Student Program Application

Name

First NameLast Name

Date of Birth

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Current School:

Grade Level:

Why are you interested in joining our program?

Do you have any prior experience in studio production, music production, or podcasting? If yes, please describe.

What programs are you most interested in?

What skills do you hope to develop through this program?

Do you have any specific goals or projects you would like to work on during the program?

Describe any previous creative or technical projects you have been involved in.

Additional Comments or Special Requests

Preferred Lesson Day(s)

Preferred Lesson Time(s)

Are you willing to commit to the full duration of the program?

How did you hear about our program?

Do you have any special needs or require any accommodations?

Is there anything else you would like us to know about you?

Parent/Guardian Name (if student is under 18)

First NameLast Name

Parent/Guardian Phone Number

Please enter a valid phone number.

Parent/Guardian Email Address

example@example.com

Emergency Contact Name

First NameLast Name

Relationship to Student

Emergency Contact Phone Number

Please enter a valid phone number.

Terms and Conditions:

Eligibility
Applicants must be 12-18 and currently reside in Guilford County.
Applicants must demonstrate a genuine interest in studio, music production, or podcasting.

Application Process
All sections of the application form must be completed accurately and honestly.
Additional documents, if requested (e.g., recommendation letters, portfolio samples) may be requested.

Program Commitment
Accepted students are expected to attend all scheduled classes and sessions unless otherwise excused by the program coordinators.
Students must actively participate in all program activities and complete any assigned projects or tasks.

Code of Conduct
Students are required to maintain a respectful and collaborative attitude towards instructors, peers, and guest speakers.
Any form of disruptive behavior, harassment, or violation of program rules may result in dismissal from the program.

Use of Personal Information
Personal information provided in the application will be used solely for the purpose of selecting and communicating with applicants.
The program ensures the confidentiality of all personal information and will not share it with third parties without consent.

Parental/Guardian Consent
For applicants under 18 years of age, a parent or guardian must provide consent for participation in the program.
Emergency contact information must be provided and kept up to date.

Media Release
By participating in the program, students consent to being photographed and recorded for promotional and educational purposes.
Media content may be used in program materials, social media, and other public platforms.

Liability
The program is not responsible for any personal items lost or damaged during program activities.
Participants must adhere to all safety guidelines and instructions provided by the instructors.

Changes to the Program
The program reserves the right to make changes to the schedule, content, and instructors as necessary.
Participants will be informed promptly of any significant changes.

Agreement
By submitting the application, applicants and their guardians (if applicable) agree to the above terms and conditions.
Failure to adhere to these terms and conditions may result in the termination of participation in the program.

Student/Parent/Guardian Signature

Date

Student Program Application

Interests and Experience

Skills & Goals

Availability & Commitment

Additional Information

Parent/Guardian Information

Emergency Contact Information