Application for Audition Form

Please select the courses you are applying for* Please select the courses you are applying for* Bachelor of Music in Jazz Performance Diploma of Music in Jazz Performance

Are you looking to audition online or in-person?* Are you looking to audition online or in-person?*OnlineIn-Person

Which intake are you applying for? Which intake are you applying for?2024 Mid-year Intake (starting in July 2024)2025 Intake (starting in February 2025)

How did you hear about JMI?*

Preferred audition date* Preferred audition date*3 May 202410 May 202417 May 202424 May 202431 May 20247 June 202414 June 202421 June 202428 June 2024

First Name*

Last Name*

Preferred Name

Your Email*

Mobile*

Date of Birth (DD/MM/YYYY)*

Address line 1*

Suburb/Town*

State*

Postcode*

Country*

What instrument do you play?*

How many years have you been playing?*

Please list any previous music education you have completed (optional)

Would you like to join our mailing list? Please choose the categories that you wish to receive more information about (optional) Would you like to join our mailing list? Please choose the categories that you wish to receive more information about (optional) JMI Live & Gigs JMI Courses & Classes Essentially Ellington

Emergency Contact Name*

Relationship to this person*

Emergency contact number*

I declare that the information on this form is, to the best of my knowledge, true in every respect. I declare that the information on this form is, to the best of my knowledge, true in every respect. I declare that the information on this form is, to the best of my knowledge, true in every respect.

I give permission to JMI to use any images or videos of myself collected in classes or performances held during the Night Classes for social media and other marketing purposes I give permission to JMI to use any images or videos of myself collected in classes or performances held during the Night Classes for social media and other marketing purposesYesNo

Academic Record Academic Record I authorise Jazz Music Institute (JMI) to obtain information concerning my academic record from any school, university or other institution attended by me. I agree to inform JMI promptly should I be excluded, suspended or expelled from any tertiary institution during the period of my enrolment at JMI. I consent to the collection, storage and disclosure of information concerning any acts of record falsification or other irregular acts in relation to my academic record. I acknowledge that JMI may vary or reverse any decision made on the basis of incorrect or incomplete information supplied by me. I authorize JMI to obtain information concerning my status required under the Higher Education Support Act 2003 (HESA). I acknowledge that JMI may vary or reverse any decision made on the basis of such information once obtained.