Basic Information |
Name: |
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Instrument or voice type: |
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E-mail address: |
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Cell phone: |
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Other phone, if any (please specify): |
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Local Address |
Local Address Line 1: |
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Local Address Line 2: |
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Local City: |
State: Zip:
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Permanent Address |
Permanent Address Line 1: |
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Permanent Address Line 2: |
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Permanent City: |
State: Zip:
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Permanent phone: |
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Student Status |
Class: |
Undergraduate, Class of:
Graduate Student
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School: |
Arts & Sciences
Engineering
Medicine
Public Health
Nursing
Other
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Major: |
Check here if music minor
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Audition Piece |
Title: |
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Composer/Arranger: |
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Movement(s) and Duration of each: |
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For singers only: Do you want an accompanist?: |
Yes
No
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Other Information |
Please attach music resumé: |
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Additional information (optional) |
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