2025 Eastman Pathways Application

Eastman Pathways Application Form

This is an application form for first-time Pathways Program applicants. (Do NOT use this form if you are a returning student!)
To complete this application form, you will need:

1. Student information (contact, etc.)

2. Parent/guardian information (contact, etc.)

3. Your RCSD music teacher's name and email address

4. Financial information (income, filing status page 1 of your latest 1040 form, or proof of supplemental income)

5. Your calendar so you can schedule a live audition
Student Information

Please fill out all of the information below about the student applying to the Pathways Program.
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Age*
Current Grade Level*
Gender*
Ethnicity*
Instrument or Voice Type*
Name of RCSD School*
Name of RCSD Music Teacher*

First NameLast Name
RCSD Music Teacher's Email Address*
You MUST provide this in order to complete your application!
Address where student resides*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Email*
example@example.com
Student Phone Number*

Area CodePhone Number
Can you receive texts at this number?*

YesNo
Has the student ever participated in ROC Music?*

YesNo
Has the student ever received a Pay It Forward (PIF) scholarship?*

YesNo

Musical Information

Please fill out this information for the student auditing for the Pathways Program.
How long has the student been playing their instrument?*
Does the student currently participate in musical ensembles/activities at their RSCD school? If so, please list:*
Has the student previously participated in the NYSSMA Solo Festival?*
Why does the student wish to participate in the Pathways Program?*
Let us know what you hope to learn in the program, some of your musical goals... any reasons why YOU are auditioning!
Has the student been affiliated with the ROC Music Program?:*

Yes, the student CURRENTLY participates in ROC MusicYes, the student has PREVIOUSLY participated in ROC MusicNo, the student has NEVER participated in ROC Music

PARENT/GUARDIAN INFORMATION:

Please fill out this information for the enrollment-responsible parent/guardian. This person will serve as the main point of contact.
Enrollment Responsible Parent/Guardian Name*

First NameLast Name
Relationship to applicant*
Address where parent/guardian resides *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Phone Number*

Area CodePhone Number
Can you receive texts at this number?*

YesNo
Primary Contact E-mail*
This email address will be used to contact you about the status of the application. Please enter a CURRENT email address.

Audition Sign-Up

Every student must sign up for a live, in-person audition at the Eastman Community Music School. Please choose from the options below. You will receive complete instructions and directions via email before your audition day.
AUDITION DATES:

Saturday, May 3

Sunday, May 4

Choose ONE 10-minute slot for your audition.
Pathways Live Audition*
Should be Empty:

Eastman Pathways Application Form