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APPLICATION FOR AUDITION

INSTRUCTIONS

All questions must be answered


Print clearly using BLOCK LETTERS
Tick boxes where applicable

Blue or black pen only. DO NOT use pencil.


Application fee must be paid with this application

PLEASE SELECT YOUR COURSE PREFERENCE


(Please tick)

Bachelor of Music in Jazz Performance (3 year full-time study)


Diploma of Music (Jazz Performance) (1 year full-time study)
Cert III in Music (high schools students only)
Cert IV in Music (high school students only)

1. PERSONAL DETAILS (please use BLOCK LETTERS)


Title:

Mr

Mrs

Ms

Miss

Dr

Other

Family Name:
Given Names:
Male

Preferred Name:
Female

Date of Birth

Day

Month

Year

Email:
Mailing address:
Number & Street or PO Box:
Suburb

State

Country

Postcode

Phone (

Mobile

Fax (

2. RESIDENCY STATUS
Are you an Australian citizen?

Yes

No

Are you a New Zealand citizen?

Yes

No

Are you an International applicant?

Yes

No

Have you been granted a Permanent Humanitarian Visa in Australia?

(if not please answer the following questions)

Yes

No

(If you have been granted a Permanent Humanitarian Visa in Australia, please attach a certified copy of your residency visa contained in you passport).

Have you been granted permanent residency (other than a humanitarian visa) in Australia?

Yes

No

(If you have been granted permanent residency (other than a Permanent Humanitarian Visa) in Australia, please attach a certified copy of your residency visa contained in you passport).

3. INSTRUMENT
4. EDUCATIONAL HISTORY
Name of School

Location (town, state)

Major course or subject

Dates attended

Graduated

From

Yes

To

Award

No

High School:
Technical/Trade (after High School):
Tertiary Study:
Other education/training:

CRICOS Provider No. 02377F


HEP No. 7014
RTO No. 6124

Phone
(07) 3216 1110
Email play@jazz.qld.edu.au
Web www.jazz.qld.edu.au

5. MUSIC EDUCATION
Current Instrumental or Vocal teacher(s)

Name

Location

Phone

Email

Practical/Theory Examinations taken


Instrument/Theory

Teacher

Grade

Result

Year

Examining Organisation

Have you studied the Board of Secondary School Studies Music Subject in Year 12?

Yes

No

Have you studied the Music Extension subject in Year 12?

Yes

No

6. RECOGNITION OF PRIOR LEARNING/CREDIT FOR PREVIOUS STUDIES


Are you seeking credit for recognised prior learning and/or previous tertiary studies you have undertaken?

Yes

No

If you have ticked YES, you will need to prepare documentation of any valid previous tertiary study or workplace experience to present to JMI on request.
Further information regarding Recognition of Prior Learning & Credit Transfer agreements are available under our policies on our website (www.jazz.qld.edu.au)

7. DECLARATION
Are you at present excluded, on academic or other grounds, from any tertiary institution?

Yes

No

If yes, please provide details:

I authroize Jazz Music Institute (JMI) to obtain information concerning my academic record from any school, university or other institution attended by me. I agree to inform JMI promptly
should I be excluded, suspended or expelled from any tertieary institution during the period of my enrolment at JMI. I consent to the collection, storage and disclosure of information
concerning any acts of record falsification or other irregular acts in relation to my academic record. I acknowledge that JMI may vary or reverse any decision made on the basis of
incorrect or incomplete information supplied by me. I authorize JMI to obtain information concerning my status required un the Higher Education Support Act 2003 (HESA). I
acknowledge that JMI may vary or reverse any decision made on the basis of such information once obtained.

Signature (applicant)
Date
JMI collects, stores and uses personal information only for the purposes of administering student and prospective student admissions, enrolment and education.
The information collected is confidential and will not be disclosed to third parties without your consent, except to meet government, legal or other regulatory authority requirements.

8. AUDITION DETAILS
A pre-audition interview with the Head of School is recommended. This interview is designed to assist applicants in preparing for audition.
Please phone JMI for an appointment for this interview.
Auditions are held every year from September through to late January. You may make an appointment at your conveniene for an audition during this period by
contacting JMI on the details provided at the bottom of the page

Audition application fee - $30 (non refundable)


Applications will not be processed until this fee is paid.

PAYMENT OPTIONS
Cheque (payable to Jazz Music Institute) (attached)
Cash (to be paid in person)
Visa

Mastercard

Credit card number

Name on card
Applications to be
forwarded with by post or
in person to:

CRICOS Provider No. 02377F


HEP No. 7014
RTO No. 6124

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Signature
Jazz Music Institute

or

PO Box 2215
Fortitude Valley BC 4006

47 Brookes Street
Bowen Hills Qld 4006

Expiry

T: 07 3216 1110

F: 07 3216 1150

www.jazz.qld.edu.au

play@jazz.qld.edu.au

Phone
(07) 3216 1110
Email play@jazz.qld.edu.au
Web www.jazz.qld.edu.au