Instituto Internacional de Música de Cámara de Madrid
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ENROLLMENT APPLICATION
Academic Year 2010-2011
 

PERSONAL INFORMATION
NAME
FIRST NAME
GENDRE   M F AGE...
BIRTH PLACE AND DATE
NATIONALITY
ID. OR PASSPORT NO.

ADDRESS
STREET NO.
ZIP CODE TEL.
CITY FAX
STATE/PROVINCE
COUNTRY
E-MAIL
CELL PHONE

ACADEMIC INFORMATION
MUSICAL TRAINING AND EDUCATIONAL CENTERS ATTENDED
(high school / conservatory / private studies);
please specify courses presently being followed, other instruments and solfège level:
TEACHERS (Please indicate place and duration of studies with each one):
LANGUAGES (Please indicate proficiency level: elementary / intermediate / advanced):
I WISH TO APPLY FOR A SCHOLARSHIP
Tuition: Yes No       Residence: Yes No
 
NOTE: Application must be completed in block letters.

DOCUMENTS BEING SUBMITTED 
CURRICULUM VITAE.
(Máx. fifteen lines)
CERTIFICATE OF STUDIES.
Original or authenticated photocopy.
DIPLOMAS OF COURSES COMPLETED.
Original or authenticated photocopy.
DOCUMENTATION OF PERFORMANCES.
FOUR ID-SIZED PHOTOGRAPHS.
PHOTOCOPY OF ID.CARD OR PASSPORT.
REPERTORY OF WORKS TO BE PERFORMED IN THE AUDITIONS.
In attached typed sheet, specifying applicant name, as stated in point 2.E.
INCOME TAX RETURN.
Authenticated photocopy. (Only scholarship applicants)
PROPERTY TAX RETURN.
Authenticated photocopy. (Only scholarship applicants)
 
NOTE: The organization reserves the right to change any of the above stated terms of enrollment.
In ,     ,20



Fill in and print this form and send it with attached documentation to:
Instituto Internacional de Música de Cámara de Madrid / Pza. de Oriente s/n / 28013 Madrid, España