ACO Academy 2019 Application Question Title * 1. Student Details Full Name * School * Postal Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Main contact email address (parent/guardian email preferred) * Main contact phone Number * Question Title * 2. Instrument Details School Year/ School Grade Instrument Instrument Grade (AMEB or similar) Question Title * 3. YouTube URL Link 1 (please include name of composer & piece) Question Title * 4. YouTube URL Link 2 (please include name of composer & piece) Question Title * 5. I wish to apply for a scholarship for (please skip question if you do not wish to apply for a scholarship) Fee Travel Accomodation All (travel, accomodation & fee) Question Title * 6. I, the parent/guardian of the above-named student give permission for him/her to be photographed, filmed or interviewed during the ACO Learning & Engagement event by both ACO and news media. Please note: parent/ guardian will be required to sign a media permission form upon acceptance Yes No Question Title * 7. Music Teacher (School or Private) Details: Name School/ Institution Postal Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 8. Please provide a brief statement of your performance/ ensemble experience: Question Title * 9. How did you find out about ACO Academy? Past Participant Word of Mouth ACO Website ACO Learning & Engagement Enews Social Media Advertisement Music Teacher Other (please specify) Question Title * 10. Learning & Engagement Enewsletter (leave blank if you wish to be apart of the mailing list) Do NOT subscribe me to ACO Education Enews I'm already subscribed SUBMIT