CMS RETURNING Student Application Spring 2025

1
Are you completing this application on behalf of yourself as an adult student, or on behalf of a student for which you are the parent/guardian?* This field is required.
MYSELF (Adult Student)MY STUDENT
2
Name of Student* This field is required.
First Name
Last Name
3
Student Grade (entering this semester)* This field is required.
4
Name of Student's School (or Homeschool)
5
Name of Parent/Guardian* This field is required.
First Name
Last Name
6
Primary Parent Email (Parent/Guardian)* This field is required.PLEASE NOTE: Email is our primary means of communication with student families. Please enter the email we should send all important CMS correspondence to.
example@example.com
Confirm Email
7
Primary Phone Number (Parent/Guardian)* This field is required.Please use the number which you can be most easily reached should a lesson need to be canceled or changed.
Please enter a valid phone number.
8
Secondary Parent Email
example@example.com
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
10
Adult Student Name* This field is required.
First Name
Last Name
11
Primary Adult Student Email* This field is required.PLEASE NOTE: Email is our primary means of communication with students. Please enter the email address that we should send all important CMS correspondence to.
example@example.com
Confirm Email
12
Adult Student Phone Number* This field is required.Please use the number which you can be most easily reached should a lesson need to be canceled or changed.
Please enter a valid phone number.
13
Adult Student Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
14
Are you registering for Private Instruction?Private lessons are offered for most instruments, as well as for voice. Lessons are scheduled between student and instructor throughout the semester following the ETSU academic calendar.
YESNO
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Private Lesson Type (Instrument)* This field is required.Please list the instrument the student would like to study with private instruction. For vocal instruction, please list "Voice" and if you prefer classical or popular.
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Lesson Package: Length and Amount of Private Lessons* This field is required.NEW FOR SPRING 25! Please choose the lesson package the student would like to apply for. Tuition for each lesson package per semester is listed below. Lessons are scheduled across the semester based on the ETSU academic calendar and are arranged between the student and instructor.
30 mins/lesson for 6 lessons - $200/semester
30 mins/lesson for 12 lessons - $400/semester
45 mins/lesson for 6 lessons - $300/semester
45 mins/lesson for 12 lessons - $600/semester
60 mins/lesson for 6 lessons - $400/semester
60 mins/lesson for 12 lessons - $800/semester
Other (email your special request to musicschool@etsu.edu)
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Instructor for Private Lesson* This field is required.Please select the instructor that the student had last semester for private instruction on this instrument. If the instructor is not listed, or you are requesting a change of instructor, please note below. If the student has not taken lessons in this instrument through CMS but would like to apply for lessons this spring, please mark "New Student" for this instrument.
Katie Adams - Bass
Logan Ball - Percussion
Marianna Brickle - Violin
Benjamin Caton - Piano
Roya Farzaneh - Flute
Max Geissler - Cello
Matthew Haagen - Guitar
Heather Killmeyer - Bassoon, Oboe
David Kovac - Violin, Viola
Michaela Kovacova - Piano
Tim Loman - Clarinet
Brett Long - Trumpet
Marissa Mathia - Piano
Sunjoo Oh - Voice
Jerilyn Paolini - Piano
Louisa Peng - Piano
Lisa Perry - Clarinet
Eva Polgar - Piano
Brian Rodesch - Saxophone
Karen Smith - Voice
Monica Song - Piano
Elliot Stanger - French Horn
Garrett Thomas - Voice
James West - Guitar
Justin Waller - Trombone
I would prefer to have a different instructor this semester
My instructor is not listed
New Student - Student has not taken private instruction in this instrument through CMS
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Are you registering for Private Instruction in a second instrument?
YESNO
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Additional Private Lesson Type (Second Instrument)If there is a second instrument that the student would like to study with private lessons, please list the second instrument here. For vocal instruction, please list "Voice". If none, leave blank.
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Lesson Package: Length and Amount of Private Lessons (Second Instrument)* This field is required.NEW FOR SPRING 25! Please choose the lesson package the student would like to apply for. Tuition for each lesson package per semester is listed below. Lessons are scheduled across the semester based on the ETSU academic calendar and are arranged between the student and instructor.
30 mins/lesson for 6 lessons - $200/semester
30 mins/lesson for 12 lessons - $400/semester
45 mins/lesson for 6 lessons - $300/semester
45 mins/lesson for 12 lessons - $600/semester
60 mins/lesson for 6 lessons - $400/semester
60 mins/lesson for 12 lessons - $800/semester
Other (email your special request to musicschool@etsu.edu)
21
Instructor for Additional Private Lesson (Second Instrument)* This field is required.Please select the instructor that the student had last semester for private instruction on this instrument. If the instructor is not listed, or you are requesting a change of instructor, please note below. If the student has not taken lessons in this instrument through CMS but would like to apply for lessons this spring, please mark "New Student" for this instrument.
Katie Adams - Bass
Logan Ball - Percussion
Marianna Brickle - Violin
Benjamin Caton - Piano
Roya Farzaneh - Flute
Max Geissler - Cello
Matthew Haagen - Guitar
Heather Killmeyer - Bassoon, Oboe
David Kovac - Violin, Viola
Michaela Kovacova - Piano
Tim Loman - Clarinet
Brett Long - Trumpet
Marissa Mathia - Piano
Sunjoo Oh - Voice
Jerilyn Paolini - Piano
Louisa Peng - Piano
Lisa Perry - Clarinet
Eva Polgar - Piano
Brian Rodesch - Saxophone
Karen Smith - Voice
Monica Song - Piano
Elliot Stanger - French Horn
Garrett Thomas - Voice
James West - Guitar
Justin Waller - Trombone
I would prefer to have a different instructor this semester
My instructor is not listed
New Student - Student has not taken private instruction in this instrument through CMS
22
Would you like to apply to participate in an Orchestra, Ensemble or Group Class?Group Classes, Orchestras and Ensembles follow the ETSU academic calendar. Students must audition to be accepted in Sinfonia and ETSU Symphony Orchestras. Days/times for spring below are tentative.
Sinfonia Orchestra - $150/semester. Saturdays 9 - 10 am. Open to intermediate to advanced pre-college age students on violin, viola, cello, and double bass (Suzuki volume 4 to 8 or equivalent). Audition required.
ETSU Symphony Orchestra - $250/semester. Tuesdays & Thursdays 5:30-7:00 pm. Open to everyone! (Adults, high school students, dual enrollment registration, college registration for credit or audit.) For advanced students of any age on violin, viola, cello, and double bass. In some cases students on brass, woodwind, and percussion instruments may also be eligible. Students should be performing advanced repertoire (Suzuki volume 8 and/or equivalent). Audition required.
Music Theory - $150/semester. Saturdays 10:15 - 11 am for 12 sessions. Open to high school and adult students. Provides the fundamental elements of music from a theoretical perspective and a solid foundation for the student's musical journey. The curriculum covers the rudiments of pitch, rhythm, and meter, laying the groundwork for a comprehensive understanding of the musical structure and exploring how these essential components of music enhance the appreciation and comprehension of various musical genres.
N/A
23
If applying for an Orchestra for the first time, have you been approved by or already arranged an audition with Dr. Kovac?
Yes
No
N/A
24
Faculty Discount EligibilityIf the student or a parent of the student is an ETSU faculty or staff member, please indicate the faculty name, job title, and department to receive an ETSU faculty discount. Discounts are $50 for 12 lesson packages and $25 for 6 lesson packages and orchestras.
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Media Authorization: Checking the box below will serve as my digital signature that I authorize ETSU Community Music School to take and use photographs of MYSELF (if student) or my CHILD (if parent) for promotional or educational purposes on the website and other educational or promotional materials used by ETSU Community Music School. This authorization includes or does not include permission to utilize my name (if student) or my child's name (if parent) in conjunction with the photographs.* This field is required.
Yes, you may use photos of me (or my child) with permission to include his/her name.
Yes, you may use photos of me (or my child), but please do not include my/his/her name.
No, I do not consent to use of photos of myself (or my child) in any educational or promotional Community Music School materials.
26
Acknowledgement of ETSU Community Music School Student Attendance & Participation Expectations* This field is required.CMS is a rigorous program with high standards and expectations of our students. Students should be ready to commit to regular practice on their chosen instrument. Students will receive a quality musical education and are expected to attend all lessons, practice regularly, and put forth their best efforts to improve their musical skills. Students who are not committed to meeting these expectations are subject to dismissal from the program without a refund. Full details can be found at: Policies for Current Students (etsu.edu)
I acknowledge and understand that CMS is a rigorous music program, and students are expected to put forth their best efforts to improve their musical ability, attend all lessons and practice regularly. I also understand that students who are not committed to meeting these expectations are subject to dismissal from the program without a refund.
27
Acknowledgement of ETSU Community Music School Payment & Withdrawal Policy* This field is required.RETURNING Students: By submitting this registration form, a student is considered registered in our system for the fall semester. A returning student must also pay the required deposit by the deadline. Deposits are a portion of the overall tuition balance. Deposits do not guarantee a particular time slot or instructor but do give returning students priority placement over new students for available openings with instructors. If a returning student does not pay the deposit, a new student could potentially be accepted in their place if openings are limited. The remaining tuition balance for the semester is required in full prior to the start of classes for the semester, unless awaiting financial aid decisions or on an approved payment arrangement. Students are subject to dismissal from the program for non-payment. The student's account must be in good standing in order to remain in the program and to re-enroll for future semesters. Upon submission of a registration form, unless a student cannot be paired with an instructor or a class is cancelled, students are considered to be enrolled in the CMS program and must officially withdraw to avoid semester fees or to receive a full or partial refund. Withdrawals must be made in writing by submitting a withdrawal request using the form on the CMS website or app. Full details can be found at: Policies for Current Students (etsu.edu)
I understand and agree that upon submission of this form that full tuition is required in full prior to the start of semester classes. I understand that a student's account must remain in good standing to avoid possible dismissal from the program without a refund. I also acknowledge and agree that upon submission of this form, unless student cannot be paired with an instructor or a class is cancelled, the student is considered enrolled in CMS for the fall semester and must officially withdraw in writing using the form on the CMS website or app to avoid semester fees or to receive a full or partial refund.
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Acknowledgment of ETSU Community Music School Policies* This field is required.Acknowledgment of ETSU Community Music School Program Policies and Procedures: Checking the box below will serve as my digital signature indicating that I have read, understood, and agree to the terms of the ETSU Community Music School Policies Handbook governing the ETSU Community Music School. I understand that violation of these rules and policies may lead to disciplinary action to be determined by senior program staff, including and without limitation, dismissal from ETSU's Community Music School without refund of tuition or fees. Program policies can be found at: https://www.etsu.edu/cas/music/community-music-school/students.php
Yes, I have read and understand the ETSU Community Music School policies, and I agree to abide by the terms of these policies.
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