2014 Music in Italy Application
Due November 4, 2013
This application must be typed and submitted in hard copy to Dr. William Thomas, in the music department, DMB 112, or to
Emily Sweezey, DMB 107. Part I-IV of the application should also be submitted electronically via e-mail to
[email protected].
Questions may be directed to [email protected] (864-294-2088).
I.
Identification and Contact Information
Name _____________________________, _____________________________ ____________________________
(last)
(first)
(middle)
Current Classification:
freshman
sophomore
junior
senior
Expected year of Graduation: ___________________
Birth date: ____________________
Furman ID Number: _________________________________
Local Address: ____________________________________
Box No. _____________________________
____________________________________
Local Phone _________________________
E-mail: ___________________________________________
Cell Phone ___________________________
(Declared/Intended) Major(s): ____________________________________________________________________
Instrument or Voice type: ___________________________
Studio Professor___________________________
Ensembles in which you are enrolled: _______________________________________________________________
_____________________________________________________________________________________________
II.
Passport
For admission to Italy a passport is required to be valid at least six months beyond the intended date of return to
the US, in other words through June 2015. If you do not yet have a passport you will need to apply for one.
Do you have a valid passport?
Yes
No
If not, have you applied for one?
Yes
No
If you have a passport, please provide this information:
Passport No: ___________________________
Place issued (Miami, New York, etc.):_______________________
Expiration date: _________________________
Date of issue: _________________________________________
Citizenship: ____________________________
If not US then current visa status: _________________________
III.
Essays
(The quality of your responses to these questions is important. Think and write carefully.)
1. Academic and Personal Goals
How would participating in this study away program help you to meet your academic and/or personal goals? How do you
see this study away program benefiting you in the long run?
2. Previous Travel Experience
Describe the location, purpose, year and duration of any previous overseas or significant travel experiences that you think
might be relevant. If none, type: N/A.
3. Extra-curricular Activities & Experiences
List the extra-curricular activities/organizations you are involved in and describe how your extra-curricular activities and
experiences (i.e. employment, organizations, community service, hobbies, training, performances, living-away-from-home,
etc.) have helped you prepare for this program. Be sure to include specific names of the organizations/activities, and
indicate any leadership roles or position titles, if applicable.
If you are not a music-major, briefly describe your previous musical experiences.
IV.
References
List three Furman faculty members who you believe are best qualified to comment on your potential as a
participant in this music-related foreign study program. One reference should be your applied music teacher and
one should be from outside the music department. For faculty outside of music please be sure to list in which
department they teach. It is highly recommended that you contact the potential references before listing them
on this form.
Have each of these three references complete a reference form. Make sure you give them time to complete the
form in order to meet the deadline of Monday, November 18, 2013.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
List the names, addresses, e-mail addresses, and phone numbers of two people (non-students) who can be
contacted to comment on your general character and your likelihood of success in foreign study:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Music in Italy
Permission of Parent or Guardian
You are responsible for having your parent or guardian submit the additional information below stating that he/she is
aware and supportive of your having made application to this program.
Student’s Name: _______________________________________________________________________________________
Parent/Guardian’s Name: _______________________________________________________________________________
Preferred Mailing Address: __________________________________________________________
City, State, Zip: ____________________________________________________________________
Country, if other than U.S.A: _________________________________________________________
Phone [Home]: (
) ___________________________________
Phone [Work]: (
) ___________________________________
Signature (parent or guardian): __________________________________________ Date: ____________________________
Send all application materials to: Dr. William Thomas, Director, Music in Italy, 3300 Poinsett Highway, Greenville, SC
29613. E-mail: [email protected]; Fax: (864) 294-2121.
Furman University Music Department
Music in Italy 2014: Study Away Reference Form
Due by Monday, November 18, 2013
Dear Colleague,
__________________________________ has applied for the music Study Abroad program to take place in Arezzo Fall 2014
and has listed you as a reference. We hope that you will assist the selection committee by helping us better understand the
strengths and weaknesses of the candidate. Reference forms will remain confidential within the committee. Please seal this
form in an envelope provided and return to me via campus mail. Thank you in advance for your time and candor.
Sincerely,
William Thomas, [email protected]; 864-294-2088
On a scale of 1-5 (5 = “exceptional”, 3 = “Furman average”, 1 = “weak”) please give your impression of the student below:
5
4
3
2
1
Don’t know
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Creativity
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General attitude
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Musical ability
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Reliability
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Self-motivation
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Ability to receive criticism
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Humor, cheerfulness, friendliness
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Ability to work within a group
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Degree to which this student would contribute to this program
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Degree to which this student would benefit from this program
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In your opinion, what are a few words describing the student’s strengths?
In your opinion, what are a few words describing the student’s weaknesses?
Are there any reasons why you think this student might not be a good candidate for this program?
___________________________________
Name (printed)
____________________________________
Signature