Suzuki String Program Application Form
Please complete this Application Form and mail the completed form to:
University of Louisville
School of Music
Community Music Program
Room LL 001
Louisville, KY 40292
| Instrument of Study (circle one): | Violin |
Viola | Cello | Bass |
Date of Application ____________________
Student’s Name ___________________________________________________________
Student’s Age _________ Birth Date ________________________
Parent/s Name/s __________________________________________________________
Home Address ____________________________________________________________
City, State, Zip ___________________________________________________________
Occupation ______________________________________________________________
Work Address ____________________________________________________________
Home Phone _________________________ Other Numbers _______________________
E-mail Address ___________________________________________________________
Student’s Level: Pre-School _____ Kindergarten _____ Grade in School ______________
Name of School ___________________________________________________________
Other Student Musical Activities, Previous or Current ____________________________________________________________________________________________________
Parent/s’ Musical Background (not required or a pre-requisite).This helps us to use the parent/teacher/student triangle as effectively as possible. ________________________________________________________________________
How did you hear about our program? _________________________________________
It is understood that upon acceptance in the UofL Suzuki String Program, we are committed to a minimum of one year of study using Suzuki’s “Mother Tongue Method”. I will arrange an instrument for my child, and have the ability to play the recordings at home. I agree to be a part of the parent/teacher/student triangle and practice with my child and see that they listen to the recordings. I will purchase and read “Nurtured by Love” by Dr. Suzuki. I agree to involve myself and my child fully in this program.
Signed: Mr. ____________________________________________________________ Mrs. ____________________________________________________________
Your application will be dated upon receipt and your name will be added to our waiting list for the teacher of your choice, or the first available teacher with a slot available at a mutually agreeable time. (This is not the registration form. Complete the Registration Form.
