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Jr. Peace & Music Ambassador Application Form 2023
Please complete each section of the application form.
* Indicates required question
Email
*
Your email
Name
*
Your answer
Mobile No.
*
Your answer
Main Phone No.
*
Your answer
Address (street, state, zip)
*
Your answer
Country of citizenship
*
Your answer
Date of Birth (Month and year only)
*
Your answer
Please mark one.
*
I Category (Age 11 - 14)
II Category (Age 15 - 18)
III Category (Age 19 - 22)
Culture/Heritage Representing
*
Your answer
Music Education: Name of Instructor/Institution
*
Your answer
Years of Instruction (Minimum of 3 years)
*
Your answer
Type of Instrument/Voice
*
Your answer
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