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UC San Diego Extension

Program Application

Thank you for your interest in the UC San Diego Jazz Camp Program at UC San Diego Extension. To apply, please complete the application form below. Upon acceptance, you will receive additional directions for registration from our staff. Should you experience difficulties with this form, contact us immediately and we will assist you in completing the application.

Domestic students must be at least 14 years old to participate in the UC San Diego Jazz Camp program. International students must be at least 18 years old to participate.

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Personal Information

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Secondary Education

List the highest secondary education level you have completed.

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College & Post Secondary

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For Minors Only (under 18)





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Emergency Contact

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Housing and Meals

On-campus housing is available in the dorms on the UCSD campus.

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If you know someone who will be attending Jazz Camp, you may request them as a roommate. Otherwise one will be assigned to you.



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Placement Information

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Note: An audio/video recording is required. For all instruments except drums, the student should play the melody, then improvise on two choruses of a jazz standard or 12-bar blues. Drummers should play brief (approx. 1 minute) examples of the following four rhythms: swing, 3/4 jazz waltz, bossa nova, 6/8 Latin.

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2000 character(s) remaining.

Rate your interest in different jazz styles (1 lowest, 5 highest):

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Who is your preferred faculty member for a private lesson? If no preference, type in NP:

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Certification and Authorization

I affirm that all of the information on this application is true and complete to the best of my knowledge. I have reviewed the policies and procedures for the UCSD Jazz Camp Summer program.

Tuition includes a non-refundable $125 fee. The full tuition fee is due upon acceptance into the program.