Allianz Junior Music Camp 2016 Application Form

Dear applicant, parent and/or guardian,
Please read and fill out the application carefully.
Eligibility: Applicant must be no older than 14 years of age at the start of the camp on Nov 02, 2016.

Deadline: All applications must be received by 12:00 AM EST on August 21, 2016.

Receipt of your application will be acknowledged via email. The review and selection process takes approximately two weeks from the August 21 deadline and notification will follow. Please do not make phone or email inquiries regarding the status of your application during this period. We will notify you immediately after all participants have been selected.

Applicant must demonstrate the following Characteristics and Qualifications
1. Exceptional musical ability
2. Deep love of music (especially classical)
3. Willingness to communicate and share their talents with other children and give back
4. Enthusiasm for performing
5. Great potential for progress and development

Applicant information

First Name:

Middle Name:

Last Name:

Date of birth month/day/year:
/ /

Gender:

Ethnicity:

Citizenship:

Home Address:

Zip code:

City:

State:

Country:

Home phone (country code) – city code – phone number:

Cell phone (country code) – city code – phone number:

Email:

Years playing piano:

Name of current piano teacher:

Phone number of current piano teacher:

Parent / Guardian Name:

Parent / Guardian Relationship to applicant:

Current academic school:

Grade in school:

Music school (if applicable):

Please describe other music-related activities:
(i.e. other instruments, composition, etc)

Please describe other non-music-related activities:
(i.e. activities, hobbies, etc.)

Getting to Know You

Video Submissions:

To submit the required videos, visit www.YouTube.com or www.Youku.com and create a user account if you do not already have one. Log in and upload your videos. You may select to make the videos “unlisted” in YouTube and “private” in Youku which means that only people who know the link to the video can view it and the video will not appear in any of YouTube’s or Youku’s public spaces, such as search results, your channel, or the browse page, but the link can be shared with anyone by providing the URL. If you have made your video “private” in Youku, please provide the code. When the video is uploaded, click the “share” button in YouTube and copy and paste the URL to the correct location on the application. The link will look similar to this: http://www.youtube.com/watch?v=IMVTHc9eOz8&feature=youtu.be

 
Please answer the following questions in your personal video:

1. Why do you want to become a music ambassador?
2. What was your best personal musical experience and why?
3. How do you feel when you are listening to and playing classical music?
4. What do you think other children can learn from listening to or playing classical music?
5. Who is your favorite classical music composer and why?
6. Why do you want to be one of the Participants of Junior Music Camp?

Please submit the following 2 videos (max 3 minutes each):

Personal Video:

Personal Video URL:

Personal Video Code:


Recording Video URL:

Composer:

Name of Piece:


Recording Video URL:

Recording Code:

Note to parents/guardians:
Our judges are interested in hearing the children’s ideas and answers to these questions. The responses must be solely the thoughts and words of the applicant.

Questions for Parent/Guardian

If selected, what do you hope your child will learn from participating in this program?

What are your hopes and expectations for your child?

Authorizations

APPLICANT

I confirm that all my responses are accurate and truthful to the best of my knowledge, the materials submitted are entirely my own. The Lang Lang International Music Foundation is not responsible for my submission of the videos to YouTube. I hereby consent to Lang Lang International Music Foundation use of the materials, including the personally identifiable information, submitted in order to evaluate my application. The Lang Lang International Music Foundation is hereby given the right to publish the videos on YouTube as well as digital platforms such as websites and social media pages of the Foundation, Sponsor and Cooperation Partners. I understand that this application is not a guarantee that I will be selected. If selected by the Lang Lang International Music Foundation, I agree to participate as a Participant of the Allianz Junior Music Camp of the Lang Lang International Music Foundation.

[By entering your name in this field, you are formally acknowledging the above statement.]

Applicant`s Name:

Date:

PARENT/GUARDIAN

I give my approval for the submission of this application. I guarantee that all responses and submission materials accurately represent the work of the applicant alone. The Lang Lang International Music Foundation is not responsible for my submission of the videos to YouTube. I hereby consent, on my behalf and the applicant’s behalf, the Lang Lang International Music Foundation to use of the materials, including the personally identifiable information, submitted in order to evaluate my application. The Lang Lang International Music Foundation is hereby given the right to publish the videos on YouTube as well as digital platforms such as websites and social media pages of the Foundation, Sponsor and Cooperation Partners. I understand that this application is not a guarantee that the applicant will be selected. If the applicant is selected by the Lang Lang International Music Foundation, I agree to support their participation in the Lang Lang International Music Foundation Allianz Junior Music Camp Program.

[By entering your name in this field, you are formally acknowledging the above statement.]

Parent/Guardian’s name:

Date: