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GHP DISTRICT LEVEL APPLICATION APPLICANT INFORMATION Student Name: Click here to enter text. School: Click here to enter text. Cell Phone: Click here to enter text. Home Phone: Click here to enter text. Current email address: (must be different than parent email) Click here to enter text. Current Grade Level: Click here to enter text. GPA (Based on a 4.0 scale) Click here to enter text. Select GHP Fine Arts Nomination Area and Concentration (if applicable) Dance Visual Arts Theatre (select concentration) Theatre Performance Theatre Design Music Voice (select area) Soprano Alto Tenor Bass Baritone Music Instrumental (select area) Music Brass: Baritone/ Euphonium Music Brass: French Horn Music Brass: Trumpet Music Brass: Trombone Music Brass: Tuba Music Jazz: Electric Bass Music Jazz: Electric Guitar Music Jazz: Guitar Music Jazz: Jazz Percussion Music Jazz: Jazz Piano Music Jazz: Saxophone Music Jazz: Trumpet Music Jazz: Trombone Music Percussion: Percussion Music Piano: Piano Music Strings: Cello Music Strings: Viola Music Strings: Violin Music Strings: String Bass Music Woodwind: Bassoon Music Woodwind: Clarinet Music Woodwind: Flute Music Woodwind: Oboe Music Woodwind: Saxophone PARENT/ GUARDIAN 1 INFORMATION Parent/ Guardian 1 Name: Click here to enter text. Cell Phone: Click here to enter text. Home Phone: Click here to enter text.

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Page 1: Membership application formleagueland.typepad.com/files/2016-2017-fine-arts... · Web viewMusic Jazz: Jazz Percussion Music Jazz: Jazz Piano Music Jazz: Saxophone Music Jazz: Trumpet

GHP DISTRICT LEVEL APPLICATIONAPPLICANT INFORMATION

Student Name: Click here to enter text.

School: Click here to enter text. Cell Phone: Click here to enter text. Home Phone: Click here to enter text.

Current email address: (must be different than parent email) Click here to enter text.

Current Grade Level: Click here to enter text. GPA (Based on a 4.0 scale) Click here to enter text.

Select GHP Fine Arts Nomination Area and Concentration (if applicable)

☐Dance

☐Visual Arts

☐Theatre (select concentration) ☐Theatre Performance ☐Theatre Design

☐Music Voice (select area) ☐Soprano ☐Alto ☐Tenor ☐Bass ☐Baritone☐Music Instrumental (select area) ☐Music Brass: Baritone/ Euphonium ☐Music Brass: French Horn ☐Music Brass: Trumpet ☐Music Brass: Trombone ☐Music Brass: Tuba ☐Music Jazz: Electric Bass ☐Music Jazz: Electric Guitar ☐Music Jazz: Guitar

☐Music Jazz: Jazz Percussion☐Music Jazz: Jazz Piano☐Music Jazz: Saxophone☐Music Jazz: Trumpet☐Music Jazz: Trombone☐Music Percussion: Percussion☐Music Piano: Piano☐Music Strings: Cello☐Music Strings: Viola☐Music Strings: Violin☐Music Strings: String Bass ☐Music Woodwind: Bassoon☐Music Woodwind: Clarinet☐Music Woodwind: Flute☐Music Woodwind: Oboe☐Music Woodwind: Saxophone

PARENT/ GUARDIAN 1 INFORMATIONParent/ Guardian 1 Name: Click here to enter text.

Cell Phone: Click here to enter text. Home Phone: Click here to enter text.

Current email address: (must be different than student email) Click here to enter text.

Relationship to student: Click here to enter text.

PARENT/ GUARDIAN 2 INFORMATIONParent/ Guardian 2 Name: Click here to enter text.Cell Phone: Click here to enter text. Home Phone: Click here to enter text.Current email address: (must be different than student email) Click here to enter text.Relationship to student: Click here to enter text.

GHP COORDINATOR INFORMATIONSchool GHP Contact: Joe League

District GHP Contact: Alison Coker [email protected] TEACHER INFORMATION

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GHP DISTRICT LEVEL APPLICATIONRecommending Teacher Name: Click here to enter text.Recommending Teacher email: Click here to enter text.How do you know this person?Click here to enter text.

AWARDS, ACHIEVEMENTS, AND EXTRA CURRICULUAR ACTIVITIES

Please discuss your involvement in any student organizations in which you are a member. Include any positions and/or roles you currently hold or have held.

Answer/ Discuss: Click here to enter text.

Please discuss any school, district, regional, state, or national awards that you have received.

Answer/ Discuss: Click here to enter text.

Please discuss any volunteer activities (hours) that you participate in on a regular basis.

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Answer/ Discuss: Click here to enter text.

SHORT ESSAY RESPONSE

Include the following items in a detailed well written essay of why you chose to apply to GHP in this area: Why are you interested in attending GHP in this area of study? Why should you be selected to attend GHP? What can you contribute to GHP? What do you expect to gain from GHP?

(500 words or less)

Answer/ Discuss: Click here to enter text.

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