corsi internazionali di perfezionamento siena jazz summer workshop corsi internazionali di...
TRANSCRIPT
SIENA JAZZ SUMMER WORKSHOPCORSI INTERNAZIONALI DI PERFEZIONAMENTO MUSICALE
PERSONAL DATA
ENROLLMENT
NAME:
SURNAME:
IMPORTANT: It is compulsory to carefully read the regulations before proceeding with the compilation of this application form(1). It is possibleto fill the form on-line using Acrobat Reader. Please insert your data, print and send it (with the documents listed in the Regulations, Art. 3) to:Siena Jazz, Fortezza Medicea, 10 - 53100 - Siena - ITALY, or by e-mail to [email protected]
BORN PLACE
RESIDENCE:
ADDRESS:
COUNTRY:
CITY:
PHONE:
MOBILE:
POSTAL CODE:
BIRTH DATE: (dd/mm/yyyy)
(dd/mm/yyyy)
E-MAIL:
The enrollment application will be processed only if the payment terms of the money order are correctly reported on the on the enrollment form. The application deadline is set by July, 24th 2018(1) Official regulations of Seminari Estivi di Siena Jazz is available on the internet (http://www.sienajazz.it). (2) Please note that the Paypal payment requires an increased quota due to the commissions applies by Paypal payments. The extra quotas will be of 50,00 euros for the full-time student enrollment and of 10,00 euros for the auditor student enrollment.(3) Wire transfer must be made to: "Siena Jazz - Accademia Nazionale del Jazz", IBAN: IT15X0867371880000001002735 BIC / SWIFT CODE: CCRTIT2TCHB, specifying in your order name and surname of the applicant. Please note that the payment must be made no later than 7 days beforethe mail confirming your acceptance to the workhops. If the payment will not be made within these terms of conditions the admission will be dismissed.
FULL-TIME STUDENT
YOUR INSTRUMENT:
I have paid the enrollment fee for EURO: ,
hhhhffytrr , 7 TSUGUA / 42 Y L UJ - NOITIDE
pag. 1/3
AS AN AUDITOR
INTERNATIONAL WIRE TRANSFER(4)
DATE:
with: (select one option)
th th th
ARTISTIC AND OTHER INFORMATION
FAVOURITE MUSICIANS:
AS AN AUDITOR
pag. 2/3
JAZZ SIGHT-READING GOOD POOR
JAZZ DIPLOMA
MUSIC SCHOOL *
CONSERVATORY DIPLOMA *
WORKSHOP, STAGES
CONSERVATORY STUDENT *
SURNAME AND NAME:
Please retrieve and copy the following information from previous page
Enrollment application for (instrument):
MUSICAL STUDIES:
jazz/classic modal
jazz/rock free
bebop fusion/funky
KONWN JAZZ STYLES:
pop
jazz
rock
fusion/funky
other
blues
modal
other
AABA song
AMATORIAL MUSIC
EXPERIENCES:
PROFESSIONAL MUSIC
EXPERIENCE:
KNOWLEDGEOF
JAZZ STRUCTURES:
on changes
on one chord non-tonal IMPROVISATION PRACTICE:
(please specify the number of years)
( )
( )
( )
(please speciffy some of them:)
none pop
jazz rock
fusion/funky other
( )
* ACTIVITY IN JAZZ: Must send documents proving at least three years of activity in jazz (private study certificates, leaflets or poster for concerts, newspaper clippings, etc.)
FULL-TIME STUDENT
OTHER INSTRUMENT PLAYED
REGULATIONS ACCEPTANCE
PROCESSING AND HANDLING OF PERSONAL DATA (ITALIAN PRIVACY LAW 675/1996)
YES, I GIVE THE PERMISSION NO, I DON NOT GIVE THE PERMISSION
pag. 3/3
The undersigned
declares to subscribe the regulaitons of the 48th edition of Siena Jazz Summer Workshop, year 2018.The regulation is available on the Internet, at http://www.sienajazz.it
The undersigned
gives her/his consent to the treatment and communication of her/his personal data solely in relation to the activitieswithin the aims and objectives of Siena jazz, as described in the Siena jazz information on common personal datahandling (*). I am aware that, without my consent, registration cannot be processed.
Moreover, I give Siena jazz the permission to include my e-mail addressin his mailing list in order to receive information about workshops and concerts organized by Siena Jazz.
DATE SIGNATURE(dd/mm/yyyy)
DATE SIGNATURE(dd/mm/yyyy)
DATE SIGNATURE(dd/mm/yyyy)
(name and surname)
HOW DO I KNOW THE COURSES:
Internet (google, sienajazz.it)
Magazine
Teacher, Conservatory, School of Music, etc.
Paper Advertising (poster, depliant...)
Friends
Other (specify) ______________________________________________________________
(*) For a copy of the Siena jazz Information on common personal data handling, contact Siena Jazz, Fortezza Medicea, 1053100 - Siena (Italy).
DECLARES
under his own responsibility to have sufficient knowledge of English language and he/she is able to communicate with international teachers, both in individual and in combo lessons.
signature,
ENGLISH PROFICENCY
The undersigned
(name and surname)