Online Form for Prospective Music Students

About You
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Year of Graduation*
High School*
GPA
ACT/SAT Score
Date of Birth*
High School Participation
I have participated in the following ensembles in high school
- Band
- Choir
- Jazz Band
- Jazz Choir
- Show Choir
- Orchestra
Interests
I am interested in*
- Music Major
- Music Education Major
- Music Minor
Instruments
Primary Instrument*
Years of Primary Instrument Study*
Other Instruments
Name instrument(s) and years of study:
Instrument Years of Study Actions
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Comments
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Instrument	Years of Study	Actions

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About You