School of the Arts

Department of Music

Messiah College School of the Arts
Department of Music
Online Music Application

General Information

Name:

Phone:

Address:

City:

State:

Zip:

E-mail:


(This is a required field)

Educational Information

High School or Secondary School:

Name:

Address:

City:

State:

Zip:

Future Plans:

Year entering College:

Program you wish to enter:

Performace Experience :

Primary performance area:

Years of private instruction for primary:

Secondary area of performance:

Years of private instruction for secondary:

Piano Study (If not Primary or Secondary areas)
Years of private instruction:

Memberships / Activities :
Select the number of years you participated in the following groups.

High School Chorus:

High School Band:

High School Orchestra:

District Chorus:

District Band:

District Orchestra:

State Chorus:

State Band:

State Orchestra:

Church Choir:

Years of Music Theory Instruction:

Musical References

Please include individuals who can evaluate your experience and ability in music.

Reference #1

Name:

Position:

Phone:

Street:

City:

State:

Zip:

Reference #2

Name:

Position:

Phone:

Street:

City:

State:

Zip: