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- Concerts
Support Us
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Contact Us

2024 Ensemble ProgramAcceptance Form (Special Entry)

2024 Ensemble Program Acceptance Form (Special Entry)

"*" indicates required fields

Step 1 of 2

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Ensemble Participant Name*

First Last

This is the name of the student participating in the Ensemble Program for 2024.

Preferred First Name

If the participant prefers to be known by a first name different from their given name. please enter it here.

Please select the ensemble you were offered for the 2024 Ensemble Program.*

Please select the instrument you were offered for the 2024 Ensemble Program.*

Please select your response to this ensemble offer*

I would like to accept this offer

I would like to decline this offer

Please take the time to tell us your reason for declining, to assist us in continuing to improve our Ensemble Program.

Correspondence Email Address*

Enter Email Confirm Email

If the member is under 18, the parent/guardian email address must be provided. Please note that this is where all invoices and correspondence will be sent.

Participant Information

Participant Date of Birth*

DD slash MM slash YYYY

Your age, as of 1 January 2024*

Gender*

Preferred pronouns?*

eg. she/her, he/him, they/them

Parent/Guardian Name*

Parent/Guardian Contact Phone Number*

Participant Contact Phone Number*

Mailing Address*

Street Address Suburb State Post Code Country

Instrument Background

How many years have you been playing your offered instrument?*

In which instrumental examination educational system was your most recent exam (or similar) completed on this instrument?*

AMEB

ABRSM

Trinity

Suzuki

Tertiary degree or equivalent (completed)

I have not completed graded exams or equivalent on this instrument

Other

Which grade/level was your most recent completed music examination?*

If you have completed a non-graded exam, please choose the equivalent grade from this list.

What was your given result for your most recent completed music examination?*

If you have completed a grade/level or degree which does not give an exam grade (such as Suzuki levels or tertiary degrees), please type N/A)

What was the approximate date of completion of your most recent completed music examination?*

Current Standard on Instrument

Which music examination or education system are you currently preparing on this instrument? If you are not preparing, please select 'AMEB' and indicate your current equivalent level*

AMEB

ABRSM

Trinity

Suzuki

Tertiary degree or equivalent (in progress)

Other

Which grade/level are you currently preparing? If you're not preparing a specific grade or degree, please indicate your equivalent current AMEB Grade*

If you are preparing a non-graded exam, please choose the equivalent grade from this list.

When is your approximate intended completion of this examination/degree?*

Who is your current instrumental teacher on this instrument?*

Current instrumental teacher email address

Medical and Emergency Contact Details

Have you been diagnosed at risk of anaphylaxis?*

Yes

No

Do you carry an auto injection device (EpiPen) with you?*

Yes

No

Do you have any allergies?*

Yes

No

e.g. medications, foods, insects, etc.

Do you have any other medical conditions that are relevant?*

Yes

No

Please provide details of allergies and/or medical conditions.*

1st Emergency Contact Name*

1st Emergency Contact Phone Number*

Relationship of 1st Emergency Contact to Ensemble Participant*

2nd Emergency Contact Name*

2nd Emergency Contact Phone Number*

Relationship of 2nd Emergency Contact to Ensemble Participant*

Further Information

Do you have any siblings also enrolling in the 2024 Ensemble Program?*

Yes

No

Please list the names of the sibling/s.*

Education Information

The following information is used for Government statistical purposes only.

Name of School or Place of Education for 2024*

Please type 'N/A' if not currently studying

Please indicate the applicant's level of schooling in 2024*

Primary

Secondary

VCE

VCAL/VET

Tertiary

Not studying in 2023

Type of school/institution*

Government

Catholic

Independent

Home Schooled

Tertiary

Not currently studying

Other

What region do you reside in?*

Metropolitan Melbourne

Regional Victoria

Other

Policies and 2024 Calendar

It is a condition of your accepting this position that you read and understand the 2024 Participant Handbook.

Please find the relevant documents and save them for future reference.

2024 Ensemble Program Handbook

EP Rehearsal Schedule

Flagship MYO Rehearsal Schedule

PGYO Rehearsal Schedule

*

I confirm that I have read and understand the 2024 Participant Handbook.

*

I confirm that I have read and accepted the Absence Policy contained within the 2024 Participant Handbook.

Confirmation of submission

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