Music Scholarship Audition Form

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Phone
Email
Intended Major/Area of Study
Intended Major/Area of Study
Are you interested in a minor in music?*
Name of High School
Director/Instructor Name(s)*
Performance areas
To make more than one selection, press and hold the CTL key on a PC or the Command key on a Mac.
Title of First Selection
Title of Second Selection
What honors have you received? (e.g., honor choirs, ratings at contest, musical theater roles)
Electronic Signature*
First Last
By electronically signing this form, you are admitting that the above information is true and factual.
Date*
Date Format: MM slash DD slash YYYY

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