Application - One-week Intensive Course -

INSTRUMENT *

LAST NAME *

FIRST NAME *

ADDRESS *

POSTAL CODE *

CITY *

COUNTRY *

NATIONALITY *

French
EEA Country
Non EEA Country

EEA = European Economic Area

Please specify. *

GENDER *

Female
Male
Other

DATE OF BIRTH *

PLACE OF BIRTH *

AGE *

APPLICATION FOR WAIVER for under 18s – attach a video link *

Your interpretation of a song of your choice (youtube, vimeo, dailymotion…).

NUMBER OF YEARS OF INSTRUMENTAL PRACTICE *

APPLICATION FOR WAIVER for candidates with less than 7 years of musical practice – attach a link to a video recording *

Your interpretation of a song of your choice (youtube, vimeo, dailymotion…).

PHONE NUMBER *

EMAIL *

SOCIAL SECURITY NUMBER

DO YOU HAVE A PROFESSIONAL OCCUPATION? *

Which one? *

Name of the employer *

DID YOU FOLLOW ANY MUSICAL TRAINING? *

TITLE OF THE COURSE *

NAME OF THE INSTITUTION *

DURATION OF THE COURSE *

DID YOU OBTAIN A DIPLOMA, A CERTIFICATION? *

Yes
Expected to be obtained in 2023
No

TITLE OF THE DIPLOMA/CERTIFICATION *

YEAR OF GRADUATION *

ADD A COURSE *

TITLE OF THE COURSE *

NAME OF THE INSTITUTION *

DURATION OF THE COURSE *

DID YOU OBTAIN A DIPLOMA, A CERTIFICATION? *

Yes
Expected to be obtained in 2023
No

TITLE OF THE DIPLOMA/CERTIFICATION *

YEAR OF GRADUATION *

ADD ANOTHER COURSE *

TITLE OF THE COURSE *

NAME OF THE INSTITUTION *

DURATION OF THE COURSE *

DID YOU OBTAIN A DIPLOMA, A CERTIFICATION? *

Yes
Expected to be obtained in 2023
No

TITLE OF THE DIPLOMA/CERTIFICATION *

YEAR OF GRADUATION *

DID YOU OBTAIN ONE OR MORE GENERAL EDUCATION (baccalaureate) and/or HIGHER EDUCATION DIPLOMAS? *

Yes
Expected to be obtained before the end of this school year
No

TITLE OF DIPLOMA *

YEAR OF GRADUATION *

NAME OF THE INSTITUTION *

ADDING A GENERAL EDUCATION and/or HIGHER EDUCATION DIPLOMA

TITLE OF DIPLOMA *

YEAR OF GRADUATION *

NAME OF THE INSTITUTION *

ADD ANOTHER GENERAL EDUCATION and/or HIGHER EDUCATION DIPLOMA

TITLE OF DIPLOMA *

YEAR OF GRADUATION *

NAME OF THE INSTITUTION *

HAVE YOU EVER HAD ANY PROFESSIONAL EXPERIENCE? *

PROFESSIONAL EXPERIENCE *

(please give some details: profession, band name if musical experience, employer…)

START DATE *

END DATE *

ADD WORK EXPERIENCE

PROFESSIONAL EXPERIENCE *

(please give some details: profession, band name if musical experience, employer…)

START DATE *

END DATE *

ADD ANOTHER PROFESSIONAL EXPERIENCE

PROFESSIONAL EXPERIENCE *

(please give some details: profession, band name if musical experience, employer…)

START DATE *

END DATE *

ADD A FINAL WORK EXPERIENCE

PROFESSIONAL EXPERIENCE *

(please give some details: profession, band name if musical experience, employer…)

Start date *

End date *

How do you intend to finance your training? By yourself (SELF)? By applying to an organisation? *

SELF
AFDAS
OPCO
CR – CONSEIL RÉGIONAL
JOB CENTRE
AGEFIPH (handicap)
EMPLOYER
OTHER

Please check your eligibility with the various funding bodies beforehand.

If you wish to be financed by another OPCO than AFDAS, please specify its name *

If you are funded by your employer, please specify his name *

Please specify *

Please specify your Jobcentre ID number *

IDENTITY PHOTO (approved size 35×45 mm) *

Drag & Drop Files, Choose Files to Upload

jpeg, jpg, png

A COVER LETTER *

Drag & Drop Files, Choose Files to Upload

pdf format only

A CURRICULUM VITAE *

Drag & Drop Files, Choose Files to Upload

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

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DATE *

CANDIDATE *

RGPD *

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