Application - Professional Program

INSTRUMENT *

Last Name *

In capital letters please

First Name *

Address *

Postal code *

City *

Country *

NATIONALITY *

French
EEA Country
Non EEA Country

EEA = European Economic Area

Please specify. *

APPLICATION FOR A WAIVER for candidates living abroad and wishing to take the admission tests by distance learning. Give details of your situation:

The jury reserves the right to accept or refuse this request for exemption

GENDER *

Female
Male
Other

DATE OF BIRTH *

PLACE OF BIRTH *

AGE *

APPLICATION FOR WAIVER for under 18s – Detail your situation *

The jury reserves the right to accept or refuse this request for exemption.

NUMBER OF YEARS OF INSTRUMENTAL PRACTICE *

PHONE NUMBER *

EMAIL *

SOCIAL SECURITY NUMBER

DO YOU HAVE A PROFESSIONAL ACTIVITY? *

If so, which one? *

Name of the employer *

EMERGENCY CONTACT *

First

Last

TÉLÉPHONE PORTABLE *

DID YOU FOLLOW ANY MUSICAL TRAINING? *

TITLE OF THE COURSE *

NAME OF THE INSTITUTION *

Duration of the course *

HAVE YOU OBTAINED A DIPLOMA, A CERTIFICATION? *

Yes
Expected before the end of this school year
No

TITLE OF THE DIPLOMA/CERTIFICATION *

Year of graduation *

ADD A COURSE *

TITLE OF THE COURSE *

NAME OF THE INSTITUTION *

Duration of the course *

HAVE YOU OBTAINED A DIPLOMA, A CERTIFICATION? *

Yes
Expected before the end of this school year
No

TITLE OF THE DIPLOMA/CERTIFICATION *

Year of graduation *

ADD ANOTHER COURSE *

TITLE OF THE COURSE *

NAME OF THE INSTITUTION *

Duration of the course *

HAVE YOU OBTAINED A DIPLOMA, A CERTIFICATION? *

Yes
Expected before the end of this school year
No

TITLE OF THE DIPLOMA/CERTIFICATION *

Year of graduation *

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

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 *

IN ADDITION, YOU WISH TO ACCESS : *

additional training to pass the AMMA professional certification tests
additional training to pass the IOMA certification tests
to the complementary training to pass the DEM Jazz
to nothing more
I don’t know yet

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

SELF
AFDAS
OPCO
CR – CONSEIL RÉGIONAL
JOB CENTER
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 *

A COPY OF THE FRONT AND BACK OF YOUR IDENTITY CARD *

Click or drag files to this area to upload. You can upload up to 2 files.

pdf, jpeg, jpg, png

IDENTITY PHOTO (approved size 35×45 mm) *

Click or drag a file to this area to upload.

jpeg, jpg, png

A COVER LETTER *

Click or drag a file to this area to upload.

pdf format only

A CURRICULUM VITAE *

Click or drag a file to this area to upload.

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

A LINK TO VIEW A VIDEO CAPTURE (in trio minimum) *

Your interpretation of one of the ten imposed themes (youtube, vimeo, dailymotion…).

A LINK TO VIEW A VIDEO CAPTURE (in trio minimum) *

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

PIECES CHOSEN BY THE CANDIDATE

During the admission test, you will be asked to perform 1 free piece chosen by the jury, from among the 2 works you have proposed below. If it is a standard, a copy of the real book is sufficient. Be careful not to propose one of the ten imposed themes! If it is a composition or a title requiring it, please attach the complete scores of the works for the rhythm section (double bass, drums and piano as well as two complete scores for the jury). These scores should be no more than 2 pages long and should be written with music software.

1 – Title *

Composer *

SCORES *

Click or drag files to this area to upload. You can upload up to 10 files.

pdf format only

2 – Title *

Composer *

SCORES *

Click or drag files to this area to upload. You can upload up to 10 files.

pdf format only

COMMENTS

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DATE *

FIRST NAME AND SURNAME OF THE APPLICANT *

RGPD *

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ELECTRONIC SIGNATURE OF THE CANDIDATE *

PAYMENT OF THE REGISTRATION FEE

ONCE YOU HAVE SUBMITTED THIS FORM, YOU WILL BE AUTOMATICALLY REDIRECTED TO A PAYPAL PAYMENT PAGE.

AMOUNT OF THE REGISTRATION FEE *

Price: 70,00 €

Application – Professional Program

PIECES CHOSEN BY THE CANDIDATE

PAYMENT OF THE REGISTRATION FEE

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