MiMa Instrumental Ambassador Audition Application 2026

MiMa Instrumental Ambassador Audition Application 2026

Please complete the application to audition for the 2026 MiMa Instrumental Ambassador program. Have your audition video ready and ensure all information is accurate.
Student Information
Student Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Student Email
example@example.com
Student Phone
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
Parent/Guardian Information
Parent/Guardian Full Name

First NameMiddle NameLast Name
Relationship to Student
Parent/Guardian Email
example@example.com
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact (if different)
School Information
School Name
School City
School State
Principal Name

First NameMiddle NameLast Name
Principal Email
example@example.com
Band Director Name

First NameMiddle NameLast Name
Band Director Email
example@example.com
I have informed my principal and band director that they will receive recommendation instructions from MiMa and that their recommendation must be emailed to mbradford@mima-assemblage.org.
Musical Information
Primary Instrument
Secondary Instrument (if applicable)
Years of Experience
Current Ensemble(s)
CRA/Region
Audition Submission
Audition Video Upload

Cancelof
Video Link
Prepared Piece Title and Composer
Scales and/or Rudiments Performed
Agreements and Consent
Availability June 14–19, 2026

I have limited availability during June 14–19, 2026
Agreement to uphold MiMa expectations

I agree to follow all program expectations and directions
Audition video content confirmation

All required elements are included
Permission to use submitted media

I understand submitted media may be shared with selection staff and program representatives
Parent/guardian consent

I understand this application is submitted with parent/guardian consent
Internal Tracking
Band Director Recommendation Status
Principal Recommendation Status
Review Status
CRA Notes
Admin Notes
Submission Region
Should be Empty:

MiMa Instrumental Ambassador Audition Application 2026

Student Information

Parent/Guardian Information

School Information

Musical Information

Audition Submission

Agreements and Consent

Internal Tracking