Academy of Music Northwest Application

You will be contacted if you need to schedule an Audition and / or Placement Evaluation.

Please select the appropriate category below.

New Student
Children 4-10	Junior 9-12	Pre-College 13-18 (by audition)	Summer	Workshop	Master Class	Age in Sept:

Student's First Name:	Student's Last Name:	Family Phone: (Please include Area Code)
Mailing Address: (Please include street address, city, state, and zip code)

E-Mail:

Check each program you wish to enter.
MUSIC STUDIES	CHAMBER MUSIC ENSEMBLE	LARGE ENSEMBLE	CHAMBER ORCHESTRA

VOCAL ENSEMBLE	WORKSHOP Workshop Name:	MASTER CLASS Master Class Name:
Electives:

First Instrument / Voice:	Years studied:	Current Teacher:
Second Instrument:	Years studied:	Teacher:
Other Music Studies:	Years studied:	Teacher / School:

How did you hear about the Academy?

Do you want a referral to an instrumental or voice teacher? No Yes
If YES, you will be given referrals.

Pre-College only: Do you require any financial aid? No Yes
If YES:
A copy of the parents latest IRS tax form (top page only, both sides), must be submitted, along with a letter stating what the family can pay toward tuition to:

AMN
9109 - 196th. Street S. W.
Edmonds, WA. 98026-6333

The Academy supports qualified requests up to the limit of available scholarship funds. All information remains confidential with the Board Committee. Results will be provided before classes begin.

Complete this section for ages-18. Adult applicants skip this section.
Age:	Age in Sept:	Birth Date: (Mo / Day / Yr)	School:
Latest Youth Symphony / Choral Group:

Father's Name: (First Last)	Phone: (if other than above) (Please include Area Code)	AM PM
Mother's Name: (First Last)	Phone: (if other than above) (Please include Area Code)	AM PM

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