Audition Information Form | Peabody Institute

Student's Last Name*

Student's First Name*

Age (September 1st)*

Grade in school (this coming fall)*

Home phone*

Student email address*

Enter Email Confirm Email

Student cell phone*

Parent/Guardian name/s*

Parent/Guardian email address*

Parent/Guardian phone/s*

Did you register for Individual Instruction lessons through the Peabody Preparatory during the past school year?*

Yes
No

Will you need a placement interview to be placed with a new teacher?*

Yes
No

Years of private instruction*

If you do not currently study at the Peabody Preparatory:

Current teacher's name

Current teacher's phone number

Current teacher's email

Please list the organizations with which you have had ensemble experience in Chamber Music, and the number of years you participated.

Please list the Summer Camps or Festivals with which you have had ensemble experience, and the number of years you participated. (List name and Year)

Please list the repertoire you have studied over the past two years.

Teacher Recommendation

Name of current private instructor, or other musician who is familiar with your work.

Phone number (if not listed above

For students new to the Preparatory needing Individual Instruction placement, please list, in order of preference, ALL windows of availability for a private lesson: M-F, 2-9 (Downtown, Towson), Sat., 9-6 (Downtown, Towson).

Make a note of anything else you would like us to know about you.

Name

This field is for validation purposes and should be left unchanged.

Peabody Institute

Peabody Institute

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Piano Academy Audition Information Form

Peabody Institute

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