* First Name:

* Last Name:

* Home Address:

* City:

* State:

* ZIP:

* Phone:

* E-mail:

High School:

* Graduation Year:

Preferred Mode of Contact: Mail
E-mail
Phone

Intended Major:

Primary Voice Part:

How do you participate in
high school music? Soloist
Ensemble Member

Do you take private lessons in: Vocal Music
Instrumental Music

To what music organizations
do you belong in your school
or community?

In which of the following
you have an interest? Large Ensemble Participation
Small Ensemble Participation
   (Jazz Ensembles/Chamber Groups)
Private Lesson Study

Do you play piano? Yes - Years of experience:
No

Have you ever taken a class
in Music Theory? Yes
No

Did you audition for All-State
or Honor Choir? Yes, and I was accepted to
Yes, but I was not accepted
I did not audition

I would like to compete for
a Music Scholarship: Yes
No