Application - Improvisation Techniques Program -

INSTRUMENT *

LAST NAME *

FIRST NAME *

ADDRESS *

POSTAL CODE *

CITY *

STATE

COUNTRY *

NATIONALITY *

Country in the EEA
Country out of the EEA

EEA = European Economic Area

Please specify. *

Do you have the necessary documents for your stay on French territory (visa, residence permit, etc.)? *

yes
in process
no

GENDER *

Female
Male
Other

DATE OF BIRTH *

PLACE OF BIRTH *

AGE *

DEROGATION REQUEST if you are under 18 years old : please explain your situation *

The Jury reserves the right to accept or refuse this request.

NUMBER OF YEARS OF PRACTICE *

PHONE NUMBER *

EMAIL ADDRESS *

DO YOU HAVE A JOB? *

If you do, please name your current job *

NAME OF YOUR EMPLOYER *

DID YOU EVER RECEIVE A MUSICAL TRAINING? *

NAME OF THE PROGRAM *

NAME OF THE INSTITUTION *

PROGRAM DURATION *

HAVE YOU OBTAINED A DIPLOMA OR CERTIFICATION? *

Yes
I will in 2023
No

DIPLOMA / CERTIFICATION NAME *

DATE OF GRADUATION *

ADD A TRAINING *

NAME OF THE PROGRAM *

NAME OF THE INSTITUTION *

PROGRAM DURATION *

HAVE YOU OBTAINED A DIPLOMA OR CERTIFICATION? *

Yes
I will in 2023
No

DIPLOMA / CERTIFICATION NAME *

DATE OF GRADUATION *

ADD AN OTHER TRAINING *

NAME OF THE PROGRAM *

NAME OF THE INSTITUTION *

PROGRAM DURATION *

HAVE YOU OBTAINED A DIPLOMA OR CERTIFICATION? *

Yes
I will in 2023
No

DIPLOMA / CERTIFICATION NAME *

DATE OF GRADUATION *

DO YOU HAVE A DEGREE? *

Yes
I will in 2023
No

NAME OF THE DEGREE *

GRADUATION YEAR *

NAME OF THE INSTITUTION *

ADD A DEGREE *

NAME OF THE DEGREE *

GRADUATION YEAR *

NAME OF THE INSTITUTION *

ADD AN OTHER DEGREE

NAME OF THE DEGREE *

GRADUATION YEAR *

NAME OF THE INSTITUTION *

DO YOU HAVE PROFESSIONAL EXPERIENCE? *

PROFESSIONAL EXPERIENCE (role, name of the band if musical experience, employer …) *

Start date *

End date *

ADD A PROFESSIONAL EXPERIENCE

PROFESSIONAL EXPERIENCE (role, name of the band if musical experience, employer …) *

Start date *

End date *

ADD AN OTHER PROFESSIONAL EXPERIENCE

PROFESSIONAL EXPERIENCE (role, name of the band if musical experience, employer …) *

Start date *

End date *

ADD ONE LAST PROFESSIONAL EXPERIENCE

PROFESSIONAL EXPERIENCE (role, name of the band if musical experience, employer …) *

Start date *

End date *

HOW DO YOU PLAN TO FUND YOUR STUDIES? *

AUTO
EMPLOYER
JOB CENTER
OTHER

If your are using a personal fund, please choose “AUTO”.

Please specify *

YOUR PHOTO IDENTIFICATION *

Drag & Drop Files, Choose Files to Upload

jpeg, jpg, png

YOUR COVER LETTER *

Drag & Drop Files, Choose Files to Upload

pdf format only

YOUR RESUME *

Drag & Drop Files, Choose Files to Upload

Specify your previous studies and musical background (discipline, institution, year, level (s) reached, award (s) obtained) // pdf format only

1- A LINK OF YOUR VIDEO RECORDING (at least in trio) *

Your interpretation of one piece of your choice (youtube, vimeo, dailymotion…).

2- A LINK OF YOUR VIDEO RECORDING (at least in trio) *

Your interpretation of one piece of your choice (youtube, vimeo, dailymotion…).

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DATE *

NAME AND SURNAME *

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