Request for InformationLoading...Thank you for your interest in CIM's Preparatory Department! Please complete the form below. Upon submission, you will receive an email with additional information about CIM's Preparatory offerings. All inquiries for students under the age of 18 must list one parent/guardian's information. If you are submitting this form for another person, you will be required to indicate your relationship to the student.* Denotes a Required FieldStudent First Name*Student Last Name*Student Email Address*Student Primary Phone NumberStudent Date of Birth*Student Date of Birth*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Please select the student type*Child (Under 18)Adult (Over 18)Student Current GradePre-KKindergarten123456789101112Current School Student is AttendingPlease select your relationship to the student*:AuntGrandparentParentPartnerSiblingStep-ParentUncleLegal GuardianSpouseOtherParent/Guardian First Name*Parent/Guardian Last Name*Parent/Guardian Email Address*Parent/Guardian Phone NumberMailing AddressMailing AddressCountryStreetCityRegionPostal CodeDesired Entry Term*Spring 2021Summer 2021Fall 2021Spring 2021Fall 2022Spring 2022Primary Instrument/Area of Study:Baritone SaxophoneBass ClarinetBass TromboneBassoonCelloClarinetCompositionDouble BassEuphoniumEurhythmicsFluteFrench HornGuitarHarpMusic TheoryOboePercussionPianoPiccoloSaxophoneSuzuki CelloSuzuki Double BassSuzuki PianoSuzuki ViolaSuzuki ViolinTenor SaxophoneTenor TromboneTrumpetTubaViolaViolinVoiceUnknownSecondary Instrument/Area of Study (optional):Baritone SaxophoneBass ClarinetBass TromboneBassoonCelloClarinetCompositionDouble BassEuphoniumEurhythmicsFluteFrench HornGuitarHarpMusic TheoryOboePercussionPianoPiccoloSaxophoneSuzuki CelloSuzuki Double BassSuzuki PianoSuzuki ViolaSuzuki ViolinTenor SaxophoneTenor TromboneTrumpetTubaViolaViolinVoiceUnknownPlease select all the programs you are interested in*:Please select all the programs you are interested in*:CIM Pre-CollegeMusical Pathway FellowshipPrivate Lessons - InstrumentPrivate Lessons - Music TheoryAdvanced Chamber ChoirChamber Ensemble (Instrumental)Children's Choir (Levels 1, 2 or 3)Cleveland Youth Wind SymphoniesEurhythmicsMusic Theory Group ClassPercussion EnsemblePreparatory OrchestraString SinfoniaSuzukiYoung Artist ProgramSummer Sonata (Summer)Young Composers Program (Summer)How did you hear about CIM Prep?*Academic AdvisorCIM AlumniCIM FacultyCIM Open HouseCIM PerformanceCIM WebsiteCurrent CIM StudentEnsemble ConductorFacebookFaculty/Administrator at your InstitutionInstagramInternet SearchLinkedInMailingNews ArticleOther CIM EventPrint AdvertisingPrivate TeacherPromotional EmailsRadioSphinxTwitterYouTubeOtherPlease Describe:Submit