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Eastman School of Music

Summer @ Eastman

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Non-Residential Program Registration

  • This form is best filled out on a desktop/laptop.

    To save this form and return at a later time, scroll to the bottom of the page and click “Save and Continue Later."

  • STUDENT INFORMATION

  • Federal guidelines mandate that we collect data on the legal sex of all applicants. If you would like the opportunity, you may also share more about your gender identity here:
  • Please include area code.
  • Emergency Contact:
  • Parent/Guardian #1:

    (Student may enter one or both but at least one is required)

  • Parent/Guardian #2:
  • REGISTRATION INFORMATION for Summer@Eastman Institutes

  • Must be over 18 to apply. Both programs are free for Music Educators.
  • $0.00
    No payment is due at this time. Information about billing/payment will be sent separately once your registration has been processed.
  • Discounts

    - 10% discount for ECMS students enrolled both semesters of 2020-21 school year;

    - 25% discount for dependents of qualifying University of Rochester employees upon completion and acceptance of tuition waiver application.

    If the student is a dependent of a qualifying University of Rochester employee, the employee must first apply for the tuition waiver through their HRMS page before the discount can be applied to the student’s account.

  • PHOTOGRAPHY, SOUND AND VIDEO RECORDING RELEASE

  • I hereby consent to be photographed and recorded (sound and video) for the Eastman School of Music. The resulting photographs, sound and video recordings may be subsequently used without compensation to me by the Eastman School of Music, the University of Rochester, or third parties for publications (including web sites), advertising, and/or publicity purposes at the discretion of the School’s Communications Office. I waive the right to inspect or approve the finished photograph and/or recording and/or publication use.
  • HOW DID YOU HEAR ABOUT THIS PROGRAM?

  • Medical Information

  • If the student will be requesting reasonable accommodations on the basis of a disability (for accessibility or classroom needs) please visit:

    https://summer.esm.rochester.edu/accessibility-and-acommodations/
  • Or is there anything else medically we should know about the student or their care plan? Please describe below.
  • All medications must come in separate original labeled containers. Medications must not expire before the end of the session. Prescription medications must be written in the name of the student. All medication (prescription or non-prescription) must be accompanied by a patient-specific written order from a licensed prescriber. Pharmacy labeling on the medication is not sufficient for this purpose as the medication, dosage, and or regimen may have been changed since the pharmacy filled the prescription. This is a NY State requirement.
  • NOTE: Additional medical documentation might be required depending on New York State requirements.
  • SIGNATURES

  • By checking this box, I acknowledge that the information above is correct to the best of my abilities.
  • Date Format: MM slash DD slash YYYY
  • By checking this box, I acknowledge that the information above is correct to the best of my abilities.
  • Date Format: MM slash DD slash YYYY
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S@E Quick Links

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CONTACT US

Summer@Eastman Office
Eastman School of Music
26 Gibbs Street, Box 36
Rochester, NY 14604

585-274-1074
Email Us

Office Hours

Office Hours:

Monday-Friday: 9:00 AM - 3:00 PM

Saturday: Closed

Sunday: Closed

Saturday & Sunday: Closed

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