Chicago Musical Pathways Initiative Application Form
Thank you for applying to CMPI! Please fill out the written application here, including: contact information for you and at least one parent / guardian, information about your musical experience, and a few additional questions. NOTE: the application does not let you save a draft and come back later to submit, so please review all questions first (also listed on the CMPI webpage) to write your answers and then copy/paste them when you're ready to submit. Please reach out to CMPI's Asst Director of Admin Sarah Vander Ploeg at svanderploeg@chicagopathways.org with any questions. We look forward to receiving your application! Si desea completar la solicitud en español, visite esta página: https://form.jotform.com/262644855277166
Applicant Information
Applicant Name
*
First Name
Last Name
Instrument
*
Please Select
Violin
Viola
Cello
Bass
Flute
Oboe
Clarinet
Bassoon
Trumpet
French Horn
Trombone
Bass Trombone
Tuba
Percussion
Harp
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Confirmation Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please share how you identify:
*
Black/African-American/African
Latino/a/e/x or Hispanic
South Asian (Indian, Sri Lankan, etc.)
Southeast Asian (Filipino, Indonesian, etc.)
Native American/American Indian
Pacific Islander (Samoan, Polynesian, etc.)
East Asian (Chinese, Korean, etc.)
White/Caucasian
Mixed Race
Other
If you selected "Other", please list the ethnicity/ethnicities with which you identify:
Current Grade (as of Spring 2027)
*
Current School
*
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Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Relationship to Student
*
Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Email
*
Confirmation Email
example@example.com
Parent/Guardian Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Work Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 Name
First Name
Last Name
Parent/Guardian 2 Relationship to Student
Parent/Guardian 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 2 Email
Confirmation Email
example@example.com
Parent/Guardian 2 Mobile Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 Work Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Does your family require Spanish-language translation?
*
Yes
No
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Musical Experience
How many years have you been playing your instrument?
*
Do you play your instrument in a school program?
*
Yes
No
If yes, please describe the school program:
School Music Teacher
First Name
Last Name
School Music Email Address
example@example.com
Do you take private lessons on your instrument?
*
Yes
No
If yes, how long have you had private lessons?
Private Teacher Name
First Name
Last Name
Private Teacher Email
example@example.com
Private Teacher Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which of the following musical organizations are you now or have you been involved with in the past?
ChiArts
Chicago Academy for the Arts
Chicago Jazz Philharmonic
Chicago Mariachi Project
Chicago Metamorphosis Orchestra Project
Chicago Symphony Orchestra
Chicago Youth Symphony Orchestras
DePaul Community Music Division
Hyde Park Suzuki Institute
Hyde Park Youth Symphony
Merit School of Music
Midwest Young Artists
Music Institute of Chicago
Musical Arts Institute
One City
People's Music School
Ravinia Festival
Other
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Additional Questions
Why are you interested in auditioning for this program?
*
How did you learn about CMPI?
*
Band/orchestra director
Private teacher
Current CMPI student
CMPI staff member
CMPI marketing materials
Other
Please tell us about any other music enrichment programs, orchestras, or ensembles in which you have participated.
*
Please tell us about any other musical experience you have
*
Submit
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