Personal Data
First & Last Name: Address: City: State: Select Your State AA AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA MA ME MD MI MN MS MO MT NC ND NE NV NH NJ NM NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip: Country (if not U.S.): Email: Home Phone: Work Phone: Cell Phone: Pager:
Birthdate(mm/dd/yy): Age:
Are you married? yes no
Spouse's Name:
Family Member To Notify In Case Of Emergency (Someone who would not be living with you while you attended school.)
Name: Relationship: Address: City: State: Zip: Country (if not U.S.): Email: Home Phone: Work Phone: Cell Phone: Pager:
List two references (non-family member/non-related) who support your desire to pursue a career in audio.
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Name: Title/Relationship: Address: City: State: Zip: Country (if not U.S.): Email: Phone:
High School GED: Name of Institution: City: County: State: Course Emphasis: Graduation Date: Cumulative GPA (mandatory):
College/Trade/Vocational School (It is imperative that you list every school you ever attended. Please use the "Other Schools" box below if the space provided is insufficient).
School 1: Address: City: State: Zip: Major Area of Study: Graduation Date: Cumulative GPA:
School 2: Address: City: State: Zip: Major Area of Study: Graduation Date: Cumulative GPA:
Other Schools:
What did you excel at in school?
Why?
For you, what is the most difficult aspect of being a student?
Please list extra-curricular activities you have participated in.
Employment History (starting with the most recent employer first)
Job 1: Address: City: State: Zip: Phone Number: Your Position: Start Date(MM/YY): Last Date of Employment (MM/YY): Supervisor Name: Best Time to Call: Reason for Leaving:
Job 2: Address: City: State: Zip: Phone Number: Your Position: Start Date(MM/YY): Last Date of Employment (MM/YY): Supervisor Name: Best Time to Call: Reason for Leaving:
Additional Employment
Employer Name: Your Position: Length of Employment: Reason for Leaving:
1. Describe when and how you became interested in a career in audio.
2. What kind of music do you listen to?
3. What instruments, if any, do you play?
4. What audio equipment, if any, have you used?
5. What audio software, if any, have you used?
6. On a scale from 1-10 how would you rate your computer skills? 1 2 3 4 5 6 7 8 9 10
7. List 3-5 specific skills you expect to learn at the Conservatory. ( Anything and Everything is not a valid answer.)
8. In your own words define what an Audio engineer does.
9. In your own words define what a Live Sound engineer does.
10. In your own words define what a Post Production engineer does.
11. What job do you aspire to obtain using the education you receive at the Conservatory? ( Anything and Everything is not a valid answer.)
12. In the past, what goals have you set and achieved in your life?
13. What qualities or characteristics do you possess that will contribute to your success in the audio industry?
14. Why should the Conservatory accept you?
15. Please share with us the names and numbers of 2-3 people like yourself that could benefit from an education and career in the audio industry?
Name: Phone:
16. If accepted, when can you start classes? Check one please.
April - June 2012 July - September 2012
October - December 2012 January - March 2013
Resources
17. Please list two family members who are involved in supporting your academic endeavors. Name: Address: Home Phone: Cell Phone: Work Phone: Email Address: 2nd Email Address:
Name: Address: Home Phone: Cell Phone: Work Phone: Email Address: 2nd Email Address:
19. Do you have any prior military background? yes no
20. Have you ever been convicted of a crime?yes no
21. Do you have any conditions or challenges, physical or otherwise, that might hinder your ability to succeed? yes no If you answered yes please explain.
22. If you have already spoken to a representative at the Conservatory, please let us know who you have talked to.
Please reconfirm your email address below, as the majority of our correspondence will be communicated via the internet.
Email address
To print a copy of your application for your records please see below.
To validate that the information you provided is correct and true, please place your initials and the date in the boxes below.
Initials: Today's date (mm/dd/yy):
Enter the code as it is shown below:
For answers that require more then one line please tab to next line before continuing your answer.
If possible make "Application" the subject of your email..
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