VPA Music Application Form
Please Fill Out the Form Below to apply for the Booker VPA Music Program
Student Applicant Information
Student Name
*
First Name
Last Name
Student E-mail
*
example@example.com
Student Phone Number
*
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Student Race or Ethnicity
Please Select
Asian
Black or African American
Hispanic or Latino
White
Mixed Race
Other
Parent or Guardian Information
Parent or Guardian Name
*
First Name
Last Name
Parent or Guardian E-mail
*
example@example.com
Parent or Guardian Phone Number
*
School Information
Current grade:
*
8th Grade
9th Grade
10th Grade
11th Grade
Please select the middle school you are currently enrolled in:
*
Please Select
Booker Middle School
Brookside Middle School
College Preparatory at Wellen Park
Heron Creek Middle School
Imagine School Palmer Ranch
Island Village Montessori
Laurel Nokomis School
McIntosh Middle School
Pine View School
Sarasota Academy of the Arts
Sarasota Middle School
Sarasota Military Academy
Sarasota School of Arts & Sciences (SSAS)
Sarasota Suncoast Academy
SKY Academy Englewood
SKY Academy Venice
Student Leadership Academy
Venice Middle School
Woodland Middle School
Other: Manatee County
Other: State of Florida, non-Sarasota or Manatee Counties
Other: Out of State
Other: currently in high school
If you are currently enrolled in a high school, please select the Other: currently in high school option and select the school in the next question.
Please select the high school you are currently enrolled in:
*
Please Select
Booker High School
North Port High School
Pine View School
Riverview High School
Sarasota High School
Sarasota Military Academy
Suncoast Polytechnical High
Venice High School
Other: Manatee County
Other: State of Florida, non-Sarasota or Manatee Counties
Other: Out of State
Other: currently enrolled in middle school
If you are currently enrolled in a middle school, please select the Other: currently in middle school option and select the school in the previous question.
If selected other in either question above, please indicate the name of the school you currently attend
Recommendations
Please submit information for a minimum of two (2) and a maximum of four (4) adults who could recommend you for this program. These could be teachers, coaches, mentors, or other adults as long as they are not your relatives.
Name of 1st Recommender
*
First Name
Last Name
Email of 1st Recommender
*
example@example.com
Name of 2nd Recommender
*
First Name
Last Name
Email of 2nd Recommender
*
example@example.com
Name of 3rd Recommender (Optional)
First Name
Last Name
Email of 3rd Recommender (Optional)
example@example.com
Name of 4th Recommender (Optional)
First Name
Last Name
Email of 4th Recommender (Optional)
example@example.com
Documents to Upload
Please upload your Report Card as well as a picture of yourself.
Upload you last report card here:
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload a picture of yourself here:
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
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Music Department Information
Take a second to fill out the following to complete your application to the Music Department
What musical area(s) are you interested in?
*
Band
Jazz Band
Modern Band
Choir
Orchestra
Individual Instrument
What is your primary instrument and how long have you been playing it?
*
If you have a secondary instrument, please list it here.
List any performance ensembles you have experience with and the length of time you've performed with them.
List any solo repertoire you have performed
List any private instructors you have worked with and for how long.
Do you have access to your instrument at home with space to practice?
*
Yes
No
What are your personal goals in the Music Department?
*
Do you have plans to pursue a career within the music field? If so, tell us what you're interested in.
*
Why did you choose your instrument?
*
Why do you enjoy music? Why is it important to you?
*
Apply
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