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SCHOLARSHIP & ADMISSION APPLICATION

(Complete and "Send" at the bottom of the form.)

Personal Information:
Name - Last  First  Middle Initial 
E-mail address
Sex  Female  Male



Mailing Address:

City  State    zip 
County           Area Code ( )   Phone 
Country (U.S., U.K. etc.) 


Parent/Guardian:
Name of Parent/Guardian 
Relationship
Mailing Address

City State   zip
County           Area Code ( )   Phone
Business Phone ( )


Entering as: 
Freshman  Transfer Student Plan to enter:  Fall/August, 2010
Spring/January, 2010


College/Universities Attended: (Transfer Students only)
College/University 
From:    To:    Degree   Date of Degree (mm/yy)

College/University 
From:    To:    Degree   Date of Degree (mm/yy)

Music Majors:
 Bachelor of Music Degree Program
(Choose Intended Concentration from list below)
Concentration 1: Instrumental Music Education
Concentration 2: Vocal/General Music Education
Concentration 3: Voice Performance
Concentration 4a: Instrumental Performance(Brass, Orchestral Strings, Woodwinds & Percussion)
Concentration 4b: Instrumental Performance (Guitar)
Concentration 4c: Instrumental Performance (Piano)
Concentration 4d: Instrumental Performance (Organ)
Concentration 5: Music Industry
Concentration 6: Theory/Composition
Concentration 7: Jazz Studies


Non-Music Majors:



Audition Date: (Audition is required for scholarship as well as admission to School of Music. Select the Audition date of your choice.)
Friday, January 29, 2010
Friday, February 19, 2010
Saturday, February 27, 2010
 

Performance Area:
(Instrument/Voice)Primary:      Secondary(if any): 
 If Voice please specify range:  Soprano  Alto  Tenor  Bass  Baritone

Academic History:
High School Attended:
Street  City  State    zip
Counselor's Name:      Counselor's Area Code ( )   Phone
Cumulative grade point average:   
ACT Score:    Class rank: 

Music Background:
List the names of high school/college ensembles in which you currently perform:


Name of High School Ensemble Director:
Ensemble Director's phone: (      
Ensemble Director's e-mail: 

Do you study privately?  Yes  No  How many years? 
Private instructor's name      Instructor's Area Code ( )   Phone
Private instructor's e-mail

By checking this box, I signify that I have read this form
     and completed all items to the best of my ability.

 
This is an application for the MTSU School of Music only.
You must also apply to MTSU.