Northeast Tennessee / South West Virginia AGO
YOUNG ORGANIST COLLABORATIVE
2018 Application
Name*_________________________________ Nickname*_____________ ______Male / _____Female*
Address*_______________________________________________________________________________
City*______________________________________ State*_______ Zip*_______________
Home Phone* _______ - _______ - ____________ Cell Phone* _______ - _______ - ____________
Email Address*________________________________ Birthdate*_____-_____-________ Age*_____
School*______________________________________ Grade*______________________
Other Interest / Activities*_________________________________________________________________
Instrument #1*_________________________________ Years of Study*_____________
Teacher's Name and Telephone*_____________________________________________________________
Instrument #2__________________________________ Years of Study______________
Teacher's Name and Telephone______________________________________________________________
How did you hear about the Young Organist Collaborative?*______________________________________
Why do you want to study the organ?*________________________________________________________
_______________________________________________________________________________________
Parent/Guardian Name(s)*__________________________________________________________________
Home / Cellphone #1*_________________________ Email Address #1*____________________________
Home / Cellphone #2__________________________ Email Address #2_____________________________
*Indicates that the item is required.
Applications must be received by Friday, August 4, 2018, and include a written recommendation from a music teacher which may arrive separately. Please mail to NE TN/SW VA AGO, Young Organist Collaborative, PO Box 1235, Milligan College, TN 37682.