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Information Request - Music

Please fill out this form with the student's contact information and preferences. We do offer a field to add a parent email, so that parents can be kept in the loop as well!

First Name*

Middle Name

Last Name*

Student Email*

Parent Email

Mailing Address*

Country

Street

City

Region

Postal Code

Academics

High School*

Expected Start Term*

What are you interested in studying?*

If you're considering a second major, what is it?

Musical Studies

Primary Instrument

Secondary Instrument(s) *Please select [ctrl+click] all that apply

If other instruments, please list here:

Areas of interest for Musical Studies *Please select [ctrl+click] all that apply

Please list any Music Honors, Awards, and/or Achievements:

Currently taking lessons on your Primary Instrument?

Yes