NYSMF Online Student Application Form
2010 Season

Student's First Name

Middle Name

Last Name
Staff Application?* (additional materials required)
Applying for Financial Aid?* (additional materials required)

Street Address

Apt #

City

State

Zip

Email address

Confirm E-mail address

Home Phone
January February March April May June July August September October November December
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1979 1980 1981 1982 1983 1984 1985 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Birth Day

Mobile Phone

Male   

Female


Gender

Fax

Name of Your School

Grade in Fall of 2009

School Street Address

School City

State

Zip

Type of School


Public   

Private   

Parochial   

Home Schooled   

Applicant Normally Lives With...

Both Parents   
Father   
Mother   
Other   

• Father (or Guardian)
• Mother (or Guardian)

Last Name

First Name

Last Name

First Name

Street

Street

City

City

State

State

Zip

Zip

Home Phone

Home Phone

Work Phone

Work Phone

Mobile Phone

Mobile Phone

Fax

Fax

Email Address

Email Address

--- Choose One --- Violin Viola Cello Double Bass Flute Clarinet Oboe English Horn Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Bass Guitar Harp Percussion Drum Set Voice
Primary Instrument

Years Played

Yes   

No


Jazz?

--- Choose One --- Violin Viola Cello Double Bass Flute Clarinet Oboe English Horn Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Bass Guitar Harp Percussion Drum Set Voice
Secondary Instrument

Years Played

Yes   

No


Jazz?

--- Choose One --- Violin Viola Cello Double Bass Flute Clarinet Oboe English Horn Bassoon Saxophone Trumpet Horn Trombone Euphonium Tuba Piano Guitar Bass Guitar Harp Percussion Drum Set Voice
Additional Instrument

Years Played

Yes   

No


Jazz?

In which musical ensembles have you participated?

Choir/Chorus
Madrigal Choir
Orchestra
Chamber Orchestra
Jazz Choir
Jazz Band
Wind Ensemble
Band

Have you participated in any state, local, or other honors ensembles? If so, please list below.

Please list other summer music programs you have attended.

2009
2008

How did you hear about the New York Summer Music Festival?

Internet
Teacher/School
Friend/Family
Poster
Newspaper/Magazine Ad
Please specify

Sessions(s) you plan to attend (please check all that apply):

Session I (Jun 27 - Jul 10)


Composition Program* (additional materials required)

Classical Saxophone Institute

Session II (Jul 11 - Jul 24)


Composition Program* (additional materials required)

Session III (Jul 25 - Aug 7)


Composition Program* (additional materials required)


International Flute Institute* (additional materials required)

Tuition and fee totals will be calculated automatically for you at the bottom of this section.

Application Fee
Non-refundable
 
$

Tuition
2 Week Resident - $1,600
4 Week Resident - $3,000
6 Week Resident - $4,400
-----------------
 
$

Activity Fee
($40 / session)
 
$

Private Lesson Fee

($70 per hour, $35 per 1/2 hour)
$

Instrument
SELECT ONE Piano Violin Viola Cello Double Bass Flute Clarinet Oboe English Horn Bassoon Saxophone (alto) Saxophone (tenor) Saxophone (baritone) Trumpet French Horn Trombone Euphonium Tuba Guitar Bass Guitar Harp Percussion Drum Set Voice

Classical


Jazz

Hr. Lessons
012 3456 78910 11121314 15161718 19202122 232425
1/2 Hr. Lessons
012 3456 78910 11121314 15161718 19202122 232425

SELECT ONE Piano Violin Viola Cello Double Bass Flute Clarinet Oboe English Horn Bassoon Saxophone (alto) Saxophone (tenor) Saxophone (baritone) Trumpet French Horn Trombone Euphonium Tuba Guitar Bass Guitar Harp Percussion Drum Set Voice



012 3456 78910 11121314 15161718 19202122 232425
012 3456 78910 11121314 15161718 19202122 232425

SELECT ONE Piano Violin Viola Cello Double Bass Flute Clarinet Oboe English Horn Bassoon Saxophone (alto) Saxophone (tenor) Saxophone (baritone) Trumpet French Horn Trombone Euphonium Tuba Guitar Bass Guitar Harp Percussion Drum Set Voice



012 3456 78910 11121314 15161718 19202122 232425
012 3456 78910 11121314 15161718 19202122 232425

Festival Bank Deposit
optional: students may withdraw daily
$

Instrument Rental ($50/week)
instrument
number of weeks 01 23456
$

International Flute Institute (tuition)
 
$

Total of All Fees
 
$

Please select a payment option:
Pay only the application fee of $60 today.
Pay the total of all fees today.
Pay the amount of $ today.


Special Instructions/Notes

When you click the button above, you will be sent to Paypal.com to process your payment. When you have finished, you will be returned to our site here. NYSMF accepts credit cards (Visa, MasterCard, Discover, American Express). All online payments are processed by Paypal. You do NOT need to be a member of Paypal to use this service.

NOTE: Applicants for Financial Aid, Staff Positions, the Composition Workshop, and the International Flute Institute MUST review, complete, and submit all required additional application materials. Not doing so will greatly delay processing of your application.