Summer Strings Application

2009 SUMMER STRING APPLICATION FORM TO BE COMPLETED BY STUDENT Name ___________________________ Instrument ___________ Grade ______ Street Address __________________________________________________________ City _____________________________ State ___________ Zip Code ___________ Home Phone_______________________E-mail Address ________________________ High School __________________ Orchestra Director _______________________ Private Lessons? Yes___ No____ How Long? __________ Name of Private Teacher ___________________________________________ Individual musical honors and contest results: Current pieces being learned: _____________________________________ ___________________________ _____________________________________ ___________________________ _____________________________________ ___________________________ -----------------------------------------------------------------------------------------------------------TO BE COMPLETED BY TEACHER OR ORCHESTRA DIRECTOR Please comment on the student’s musical skills: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please comment on the student’s character: ________________________________________________________________________ ________________________________________________________________________ Compared to other students at this grade level, I would rank this student: ___ exceptional ___ very good ___ average ___ below average What is the student's chair placement in your ensemble/Orchestra?___________________ If student is a violinist, please circle corresponding recommended placement: XXX XXX XXX XXX definitely Vln I probably Vln I probably Vln II definitely Vln II I hereby recommend this student for acceptance to the 2009 IPA Summer String Camp

___________________________________________ Signature Date Mail completed application form with $50 non-refundable deposit by July 15, 2009 to: IPA ATTN: Ruth Lin 2024 NE 133rd Street Seattle, WA 98125