Berklee in Los Angeles

	Thank you for your interest in the Berklee in Los Angeles "It's All In The Song" Program. Please provide us with the following details to begin your application process.
	BIOGRAPHIC INFORMATION
First name
Preferred first name
Last name
Date of birth	(mm/dd/yyyy)
Gender
Street address

City or Town
State or Province
Zip/Postal Code
Country
Are you a permanent resident of the United States?	Yes No
If no, please include your country of citizenship:
Cell phone
Home telephone
Primary email address
Alternate email address
URL for MySpace/Website
List one or more of these ethnic groups you belong to (optional):	1. Hispanic/Latino 2. American/Alaskan Native 3. Hawaiian/Pacific Islander 4. Asian 5. White 6. Black or African American
I understand that classes are taught in English, and (choose one):
High School Name
I first heard about the program from:
Have you attended any Berklee progam(s) in the past?
	BERKLEE ADMISSIONS AND SCHOLARSHIPS Berklee will conduct live auditions and interviews for musicians seeking to apply to the college for admission consideration for full-time study.
If yes, which program(s) did you attend and when?
T-Shirt Size
Would you like to be considered for a live audition and interview while attending this program?	Yes No
	MUSIC STUDY AND PERFORMANCE BACKGROUND *SELF ASSESSMENT FOR CLASSROOM / LECTURE / SESSION PLACEMENT*
How long have you been singing or playing your principal instrument?
Principal instrument
	Tell us about your musical background and skill level.
How did you study your instrument?	Self Study Instructor Both
Rhythmic Notation	Beginner Intermediate Advanced
Melodic Notation	Beginner Intermediate Advanced
Improvisation	Beginner Intermediate Advanced
Music Theory and Harmony (key signatures, intervals, scales, chord progressions, chord functions)	Beginner Intermediate Advanced
Preferred music style/category	Rock Pop Jazz R&B Tropical (Salsa, Caribbean,etc) Other
	Name three of your favorite artists/bands
Favorite Artist/Band No. 1
Parent last name
Favorite Artist/Band No. 2
Favorite Artist/Band No. 3
Describe recent perfromances/experience(s)	(e.g. at clubs, with your school band and jam sessions)
	PARENT/GUARDIAN INFORMATION
Parent first name

Parent street address
Parent City or Town
Parent State or Province
Parent Zip/Postal Code
Parent Country
Parent occupation/profession	Describe briefly.
Parent telephone
Parent email address