a * ™ a * | “ * Interlochen Arts Camp Application | for Aduiesion 3% Instructions a ' 1 i at Aaseetion fier ua Lu 0. Box nictlach Mi OH Cor © addlemss at 7 thet Duck « s ». Sorry, but we cannot process your application without tre following ‘matesials Applicaton Checkiist 2. at Barr ' Signa a toat “ Camp Applicative Fee Dj High Sehoet Qnty) Uf any first sew 0 Crean eral ° AB Hy mre Or I would be inecrested in am alternative session. 7 fyore Soule PEP car IZETY of Music Jeachers Citizenship Information f * ay ad far Dd as 42a. South BES ¢ CR Uf you arc not a Cove V4 Toone tearing Ue pele ws will une .S, Citizen, please complete this section. Yeacher Information For liternat Use + Avalith : Qk o Y Pexo000' 1 -+#— CE > EFTA00090416

--=PAGE_BREAK=--

Financial Aid Information Emerxaa Electric Co. Scholarship Nov: Applications tor the Emerson Electric Co. Scholars program mast be postmarked by January 12, 1998, ¢ fence ad for aw ‘wing, please Lf you are apptylng fer aid a> picase Gl out this section. - recipient of say fund y cada aap nati al chen arts Com carcass 1H - = —— - — LV | = = 7 or fo = —: ae — Please Answer snow Ese Please attach a copy of your most receat Federal Tax Form 1040 to this form The information below must be £ OX r U yt f “ mi ° xi wyriy foe completed in order to process your application. Siete 2 Iniermadaace divisive Audition-Based and aoe volar bo ve “Tennent OY cot adumitied for the following major classes pleysecnsider my admission Tor nom-auditien-based alnor ciaxscs only. suditoa 2) te ave adenine’ for die following major classes, pleaee consider ayy admission for non-sudition-based ininor Classes only a \ _ HeStRA (Of CELLO oo AQ- x CHE 2 _ - heernate: choice 10) . som UE applicubk: = _ aes va 2 aie per Prlcable INTOQQ0012 EFTA00090417