Youth Middle School Interest Form

Middle School Music Interest Form

Frederick Community College
7932 Opossumtown Pike • Frederick, MD 21702
frederick.edu/music • 301.846.2566 • music@frederick.edu
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Students are invited to join our Middle School Jazz Ensemble or Middle School Flute Choir. A short video of students playing their instrument can be included with this interest form, not as an audition, but to ensure the most appropriate placement in an ensemble. (Something they're working on in lessons or a school ensemble is great.) Students who submit a video may qualify for a scholarship, depending on availability of funds.

Middle School Jazz Ensemble
Olivia Malin
Saturdays • January 24 - May 9, 2026
10:00 to 11:15 a.m.
Performing Arts Center (F145)

Middle School Flute Choir
Jessica Banks
Saturdays • January 24 - May 9, 2026
1:00 to 2:00 p.m.
Performing Arts Center (F132)

If you have any questions, please contact Dr. Mike Gersten, FCC Music Program Manager, by email (mgersten@frederick.edu) or phone (301-846-2566).
Student Name*

First NameLast Name
Students preferred name and/or pronouns, if applicable
Phone Number *
Email*
Secondary Email, if applicable
Student's Current School*
Student's Current Grade*
Will the student be enrolled in lessons or another ensemble at FCC in the fall, or does the student have immediate family members who will be enrolled in lessons or an ensemble in the fall?

YesNo
Please explain if you answered yes to the previous question.
Primary Instrument*

ViolinViolaCelloBassGuitarPercussionSaxophonePianoTromboneTrumpetFluteOther
Does the student play a secondary instrument?

YesNo
What secondary instrument does the student play?

ViolinViolaCelloBassGuitarPercussionSaxophonePianoTromboneTrumpetOther
How would you rate the student's ability as a string player?
How many years has the student played their primary instrument?
Is the student currently participating in their school's band or orchestra program?*

YesNoOther
Is the student currently taking private lessons?*

YesNoOther
Area of interest (you may select more than one.)*

Middle School Flute ChoirMiddle School Jazz EnsemblePrivate Lessons
Short Student Video

A short video of the student playing an excerpt of music is not required, however, it is helpful. We view the submissions in order to determine the best placement of your student in our program as our goal is to help them thrive in their experience at FCC.

If you wish to include a short video of your student playing an excerpt of music, please submit it below.

Thank you!
File Upload

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Under the ADA and Section 504, Frederick Community College prohibits discrimination against any person on the basis of age, ancestry, citizenship status, color, creed, ethnicity, gender identity and expression, genetic information, marital status, mental or physical disability, national origin, race, religious affiliation, sex, sexual orientation, or veteran status in its activities, admissions, educational programs, and employment. Under the ADA and Section 504, Frederick Community College (FCC) makes every effort to accommodate individuals with disabilities for College-sponsored events and programs. For FCC employees needing accommodations, including interpreting, email humanresources@frederick.edu. For students and others with accommodation needs or questions, please call 301-846-2408, or to request sign language interpreter services, please email Interpreting@frederick.edu. Sign language interpreters will not be automatically provided for College-sponsored events without a request for services. Requests must be made at least five workdays before a scheduled event to guarantee accommodations. To learn more, please visit www.frederick.edu/accommodationstatement.
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