REQUEST INTERVIEW
First Name : *
Middle Name (Initial if any) :
Last Name (family name) : *
Gender : Male  Female *
Date of Birth - (Date, Month, Year) : *
Address 1 : *
Address 2 :
City : *
State/ Province : *
Postal Code/ Zip Code : *
Phone - Mobile : *
Phone - Home/ Other :
E-Mail : *
Citizenship : *
Education Level
Your education level * : High School
Bachelors
Masters
Other:
Name of your last educational Institution : *
Year of graduation :
Do you have any Degree/ Diploma/ Certification in Music ? : Yes No *
If 'YES' , please give details below
What is your principal instrument and interest  * : Guitar
Bass
Drums
Piano/ Keyboard
Vocals
Percussion (Indian etc)
Other:
How long have you been playing your principal instrument? : 3-5 years
5-10 years
10-20 years
20 +
Describe your profiency level on your instrument : Beginner
Intermediate
Advanced
Howe do you describe your ability to read music notation on your instrument? : Poor
Fair
Good
Excellent
How do you describe your ablility to write music notation : Poor
Fair
Good
Excellent
Describe your live performance experience You may choose to highlight your most notable performances
Do you have experience playing in an ensemble or band : Yes No*
Describe your style(s) of Music : Rock
Heavy Metal
Jazz
Contemporary Jazz
Blues
R & B
Pop
Jam Band
Indian Film Music
Indian Fusion
Western Classical
Indian Classical Hindustani
Indian Classical Carnatic
Other:
Do you have a website or a MySpace page or FaceBook etc ? : Yes
No
Other:
If 'Yes' please give the URL :
Please provide us any other online links (youtube, vimeo, etc.) where we can hear your music or see your performance
Musicians Institute Programs
Which MI programs are you interested in attending? * : Bass
Drums
Guitar
Keyboard
Vocals
Audio Engineer

Independent Artist
Music Business

Guitar Craft
Film
Are you interested in getting a : Bachelor of Music Degree
Associate of Arts
Certificate Program
Non-certificate Program
Other:
In your own words, please tell us anything more about yourself that will help us in evaluating your qualifications to attend Musicians Institute
Do you have the financial resources to attend MI, in Los Angeles, California * : Yes, I have my own funding
Have some funding - and need some financial assistance through student loans
Other:

Indian MI interview location

If you had a choice of cities to attend an interview, which would be your most convenient location
Preferred City : Mumbai
Bangalore
Chennai
New Delhi
Other:
How did you hear about Musicians Institute program? * : Friend
Posters
Press
Thomas Music India mailing list
Referred by Music School
Internet
Other:
Please specify details of referral (friend's name, name of newspaper, name of music school, internet site, etc.) :
Visual CAPTCHA
Enter the code below.
Enter code above: :
Created & Designed by sjmfx - a Systica Systems brand.