2015/16 APPLICATION

DEADLINE for current members: March 1, 2015

DEADLINE for new applicants: April 1, 2015

Please type the information on this form before printing. Send this form with your non-refundable audition fee
of $35 for current members or $40 for new applicants to:
Houston Youth Symphony
2400 Augusta Dr., Suite 235
Houston, TX 77057.
We accept personal checks, money orders or cash only.
MUSICIAN INFORMATION
Musicians Name: Thomas Xiong
Home Address

23132 San Nicholas Pl.

Home Phone: 281-693-6078

Male

Instrument: Cello
City: Katy

Cell Phone: 281-673-5318

Birth Date: 3/10/1999

Female

Yrs. Played: 5
State: TX Zip Code: 77494

E-mail: thomasxiongl@yahoo.com

Age (as of 9/1/15): 16

Grade (as of 9/1/15): 11th

Private Teacher: Xiao Wong

Private Teachers Phone: 281-513-4361

Email:

How did you first hear about HYS? (Please check one)
From Other Current Member

Band Teacher

Private Teacher

Other

Do you participate in your school band or orchestra? (Check all that apply)
No

Orchestra Teacher

Yes

Band

Orchestra

Reason:
HYS members are required to participate in school band or orchestra where programs exist
unless permission is granted by school music director.

School you will attend September 2015: Seven Lakes High School
FOR CURRENT HYS MEMBERS ONLY
Total # of Years with HYS: 3

Current HYS Orchestra: Symphony

____________________________________________________________________________________________________________

AUDITION INFORMATION Please check the website for audition requirements, including repertoire excerpts
for ALL instruments.
Check the orchestra level for which you have prepared your audition:

Symphony

Philharmonia

Sinfonia

For new applicants only: Preferred audition date:

String Orchestra
Preferred audition time:

For current HYS members, audition dates and times are assigned.

Morning

Afternoon
Either

____________________________________________________________________________________________________________

PRIMARY PARENT/GUARDIAN CONTACT INFORMATION Please list one parent or guardian contact here.
Additional information may be requested after acceptance into HYS.
Parent/Guardian Name: Mr. / Mrs. / Ms. / Dr. Hongjie Xiong
Mother
Address: 23132 San Nicholas Pl.
Preferred Phone: 713-382-1968

Father
City: Katy

Other ________________________
State: TX Zip Code: 77494

(Note if Home / Cell / Work)

Email: xiong_hongjie@yahoo.com
Admission to Houston Youth Symphony is open to qualified individuals regardless of race, color, sex, creed or national origin.
2400 Augusta Dr., Suite 235| Houston, TX 77057| Tel: 713/785-2422| Fax: 713/785-5261| www.houstonyouthsymphony.com