The MBMS Integrated Musician Certificate Program (IMCP) Application Form

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Hello! I'm delighted you've decided to apply to the MBMS Integrated Musician Certificate Program.

Since this form doesn't autosave and your answers could get lost, I encourage you to write out your answers in a separate word document and then cut and paste them.

Please complete all questions to the best of your ability. If you aren't able to answer any of the questions, leave them blank.

After you submit your application, you will be directed to a web page with a link to pay your $35 non-refundable application fee. Please note that your application will not be considered until this fee has been paid.

Thank you and we look forward to reading your application!

–Peter

Email *

I. General Information

Your Name: *

Your Physical Address: *

Your Phone Number: *

Your Website (if applicable):

What do you currently do for a living? List any paid professional activities.

List your educational background (including any degrees, certificates, and diplomas earned) *

List any training programs you've completed or are currently involved with.

What is your #1 short-term professional goal? *

What is your #1 long-term professional goal? *

What's in the way, if anything, of you achieving those goals? *

How do you see being part of this program will help you achieve your professional goals? *

What do you hope to get out of your participation in this program? What specific artistic and/or teaching skills would you like to further develop in this program? *

How will you know you’ve been successful in this program and your time and money was well spent? *

I could potentially attend the following classes between September 2023 – May 2024 (check all that apply): *

Integrated Musician Classes on Wednesdays @ 10am-12pm US Central Time

Integrated Musician Classes on Saturdays @ 10am-12pm US Central Time

MBMS Academy Classes on Tuesdays @ 10am-11am US Central Time

MBMS Academy Classes on Wednesdays @ 12:30pm-1:30pm US Central Time

MBMS Academy Classes on Thursdays @ 3-4pm US Central Time

MBMS Academy Classes on Saturdays @ 1pm-2pm US Central Time

Required

Please write anything else you would like Peter to know as they consider your application. (If you'd like to be considered for a need-based scholarship you can also explain your financial situation here and why you are requesting a scholarship.) *

A copy of your responses will be emailed to the address you provided.

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