2024 Winter School Application | Melbourne Youth Orchestras

2024 Winter School Application Form

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2024 Winter School Late Acceptance

Please fill out this application form via a desktop computer or laptop device. This form does not work on phones on tablets.

Applicant Name*

First Last

Applicant Preferred Name*

Please indicate the applicant's preferred name.

Date of Birth*

DD slash MM slash YYYY

Age as of 1 July 2024.*

Please note that applicants must be at least 8 years old as of 1 July 2024. If you have any questions, please contact the MYO Office.

Gender Identity*

Male

Female

Non-Binary

Prefer not to answer

Preferred Pronouns*

She/her

He/him

They/them

Other

Are you of Aboriginal or Torres Strait Islander origin?*

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, both Aboriginal and Torres Strait Islander

Prefer not to say

Have you previously participated in an MYO Winter School or MYO program?*

Yes

Please list the ensemble/program names and years.

Instrument Information

All applicants are allocated based on their suitability for their ensemble, according to their level of skill, ensemble experience, age and balance of the ensembles.

It is important that you provide as much detail as possible in order ensure you are allocated to a suitable ensemble.

Instrument 1*

How many years have you been playing this instrument?*

First Instrument Standard

All applicants are allocated based on their suitability for their ensemble, according to their ensemble experience, age, level and balance of the ensembles.

It is important that you provide as much detail as possible in order ensure you are allocated to a suitable ensemble.

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

AMEB

ABRSM

Trinity College

Suzuki

I have not completed graded exams on this instrument

Other

Which grade or level was your most recent music examination?*

What was your given result for your most recent music examination on this instrument?*

What was the (approximate) date of completion of your most recent music examination on this insturment?*

DD slash MM slash YYYY

Current Standard on Instrument

Which instrumental examination or grading system are you currently preparing for (or the equivalent) on this instrument?*

AMEB

ABRSM

Trinity College

Suzuki

Other

If you are not preparing for any exams, please select 'AMEB' then indicate your current equivalent level as advised by your instrumental teacher.

Which grade or level are you currently preparing for (or the equivalent) on this instrument?*

If you are preparing a non-graded exam, such as ABRSM's "Performance Assessments" or Trinity's "Certificates", please choose the equivalent grade level from this list. If you are not preparing for an exam, please select your current equivalent AMEB level as advised by your instrumental teacher.

When do you plan to complete this instrumental exam?*

Who is your current instrumental teacher (for this instrument)?*

Would you also like to nominate a second instrument for consideration?*

Yes, I would like to nominate a second instrument.

No, I would not like to nominate a second instrument.

Only nominate a second instrument if you are happy to play it at Winter School.
Please note you will only be allocated a position on one instrument.

Instrument 2*

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

Second Instrument Standard

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

AMEB

ABRSM

Trinity College

Suzuki

I have not completed graded exams on this instrument

Other

Which grade or level was your most recent music examination for your second instrument?*

What was your given result for your most recent music examination on your second instrument?*

What was the (approximate) date of completion of your most recent music examination on your second insturment?*

DD slash MM slash YYYY

Current Standard on Second Instrument

Which instrumental examination or grading system are you currently preparing for (or the equivalent) on your second instrument?*

AMEB

ABRSM

Trinity College

Suzuki

Other

If you are not preparing for any exams, please select 'AMEB' then indicate your current equivalent level as advised by your instrumental teacher.

Which grade or level are you currently preparing for (or the equivalent) on your second instrument?*

When do you plan to complete this instrumental exam? (second instrument)*

Who is your current instrumental teacher (for your second instrument)?*

Auxiliary Instruments

Do you also play any of the following auxiliary instruments?*

Piccolo

Cor Anglais

E-flat Clarinet

Contrabassoon

Soprano Saxophone

Alto Saxophone

Tenor Saxophone

Baritone Saxophone

Bass Trombone

I do not play any of these instruments

Do you own any of your indicated auxiliary instruments?*

Yes

If you have indicated that you play more than one auxiliary instrument, please provide details of which instruments you own.

If we provided the instrument, would you be interested in trying a relevant auxiliary instrument at Winter School?*

Yes

Instrument and Ensemble Experience

Please list any ensemble experience over the last 2 years.*

Please list any instrument experience over the last 2 years and any other application notes.*

Contact Details

Please note all invoices and official correspondence will be sent to the addresses below. If the applicant is under the age of 18, the contact details supplied must be that of a parent or guardian (except where specified).

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Correspondence Email Address*

Enter Email Confirm Email

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

Is the applicant over the age of 18?*

Yes

Parent/Guardian Name*

Please note that this person will be considered the primary contact for this applicant.

Parent/Guardian Contact Phone Number*

Applicant Contact Phone Number*

Medical Details

Medical Conditions - If you/your child suffer from any of the following ailments or conditions, please indicate by selecting the correct conditions so that provisions can be made for you/your child's welfare.

Angina

Arthritis

Asthma

Back Problems

Blackouts

Bleeding Disorders

Blood Pressure

Bronchitis

Diabetes

Ear Infection

Epilepsy

Hay Fever

Hearing Disorder

Heart Trouble

Hives

Migraines

Mobility Impairment

Nose Bleeds

Skin Condition

Stroke

Travel/Motion Sickness

Tuberculosis

Vision Impariment

Other

Please detail any other medical conditions not listed above.*

Have you been diagnosed at risk of anaphylaxis?*

Yes

Do you have an auto injection device (EpiPen)?*

Do you take medication regularly?*

Yes

Please indicate the drug , dose and method of administration.*

Do you have any allergies?*

Yes

Please indicate the allergy, type/severity of reaction and recommended treatment.*

Will you be supplying MYO with a medical action plan?*

Yes

Please note that medical action plans are compulsory for those diagnosed with risk of anaphylaxis or severe asthma.

Please upload your medical action plan.

Max. file size: 64 MB.

If you are unable to upload the file here, please email it to myo@myo.org.au

IMPORTANT: Should your medical condition change at any stage during your enrolment with MYO, it is your obligation to advise the MYO office in writing immediately.

Emergency Contact Details

1st Emergency Contact Name*

1st Emergency Contact Phone Number*

Relationship of 1st Emergency Contact to Applicant*

2nd Emergency Contact Name*

2nd Emergency Contact Phone Number*

Relationship of 2nd Emergency Contact to Applicant*

Other Details

Do you have any siblings applying to attend the 2024 Winter School?*

Yes

Please list the name(s) of the applicant's sibling(s).*

Parent/guardian consent for child to leave the Winter School venue unescorted.*

Child can leave by themselves both at lunch and at the end of the day.

Child can leave by themselves at the conclusion of each day only.

Child can leave by themselves at lunch break only.

Child is not allowed to leave Winter School without a parent/guardian.

Only applicable for students under the age of 18 years. Changes can be made by contacting the MYO office.

How did you hear about the MYO Winter School Program?*

The following information is used for Government statistical purposes only.

Name of school or place of education*

Please type N/A if not applicable.

Please indicate the applicant's level of study*

Type of school*

Area of school location*

Please ensure you have read and understand the following documents before proceeding.

2024 Winter School Terms and Conditions and Application & Allocation Information

MYO's Privacy Policy

Please acknowledge that you have read and understand the above documents and procedures.*

I confirm that I have read, understood and accepted the 2024 Winter School Terms and Conditions and the Application and Allocation Information.

I acknowledge that all ensemble placements are made in good faith by MYO staff and that ensemble standards and repertoire may change from advertised depending on the total number and overall standard of 2024 Winter School applicants. All allocation decisions made by MYO are final.

Winter School Fee Payment

Your application will only be submitted once the payment has been processed.

Winter School Fee*

Price:

MYO Donation

Did you know that MYO is a not-for-profit registered charity? All donations over $2 are tax deductible, and go towards a myriad of programs that enrich the lives of young Victorian musicians.

Learn more about our donations program here or donate below.

Would you like to make a tax-deductible donation to MYO?*

Yes

Donor Name*

First Last

I would like this donation to be acknowledged under:*

I would like this donation to be anonymous.*

Yes

Donation Amount*

Other Donation Amount*

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Donation Total

I'd like to add to my donation to help offset the cost of processing fees*

Yes

Total

Credit Card*

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