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Have you previously applied to Wabass (if so, when)?
Biographical Information
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First Name:
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Last Name:
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Gender:
Male
Female
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Permanent Address:
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City:
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State:
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Zip:
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Country:
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Home Phone:
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Cell:
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Email Address:
Current Address (if different from above)
City:
State:
Zip:
Country:
Valid Until:
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Date of Birth:
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Age:
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Country of Birth:
Educational Information
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How many years have you studied the double bass?
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High School Attended:
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City:
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State:
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Zip:
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Country:
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Attendance Dates:
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Current Grade (if applicable):
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College Attended:
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City:
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State:
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Zip:
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Country:
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Attendance Dates:
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Current Grade (if applicable):
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Previously attended summer programs: (name, duration, location, year(s) attended)
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What other programs are you considering?
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If there is anything else we should know about you (grad school, special activities, etc), please feel free to tell us:
Primary Instructor Information:
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Name:
Permanent Address:
City:
State:
Zip:
Country:
Home Phone:
Cell:
Email Address:
Length of Study:
If less than one year, please list previous teachers and contact information:
Additional Information for Non-U.S. Citizens:
Are you currently in the U.S. on a visa?
Yes
No
If yes, what type of visa?
Visa ID No.
Granting Institution:
If you are a US Resident Alien, what is your alien registration number?
Date Issued?
Is English your first language?
Yes
No
Family History:
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Who is your custodial parent?
Both Parents
Parent/Guardian #1
Parent/Guardian #2
Other
if other, please specify:
Parent/Guardian #1
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First Name:
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Last Name:
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Gender:
Male
Female
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Permanent Address:
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City:
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State:
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Zip:
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Country:
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Home Phone:
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Cell:
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Email Address:
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Employer:
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Title:
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Work Phone:
Parent/Guardian #2
First Name:
Last Name:
Gender:
Male
Female
Permanent Address:
City:
State:
Zip:
Country:
Home Phone:
Cell:
Email Address:
Employer:
Title:
Work Phone:
Personal Background Information
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(answers will not preclude applicant from acceptance)
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Does the applicant have any chronic health problems or limitations of which the medical staff should be aware?
Yes
No
If Yes, please send a letter
along with your audition DVD
that outlines details of this condition, diagnosis, treatment (including medications), and any possible restrictions of activities.
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Has the applicant ever been suspended, expelled or asked to withdraw from any school?
Yes
No
If Yes, please send a letter
along with your audition DVD
explaining the nature of the issue/circumstance.
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Has the applicant consulted or been referred to a professional for educational testing, psychological testing, counseling, guidance, family therapy, psychotherapy, or for any other reason during the last three years?
Yes
No
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All applications require a $50.00 application fee. You will be prompted to pay via paypal after you submit your application.
Pay Online
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An audition video is required for all applicants. For online submissions please submit a link from your own Youtube channel in the box below:
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Indicates Response Required