Section A: Personal Details

Family Name:  

Title:

First Name:

Sex: □Male   □Female

Middle Name(s):

Date of Birth:

                      Day/Month/Year

Will you require on-campus accommodation?

• YES   □NO

Section B: Contact Information

Home Address:

Mailing Address (if different):

City:

City:

Postal Code:

Postal Code:

Country:

Country:

Telephone (if more than one, please indicate the primary):

Email Address:

Section C: Nationality and Citizenship

Country of Birth:

Nationality:

Passport Number:         

Expiration Date:

Section D: Program of Study

Program:   □BA (Equivalence of BM)     □MA (Equivalence of MM)   

            □Professional Studies          □Artist Diploma

Major:   □Performance (please list your instrument):  

                    □Composition         □Musicology          □Theory

      (Composition, Musicology, and Theory are only offered for MA Degree)

Section E: Details of Current & Previous Education

High School/ Academy /University

Anticipated Year of Completion

Degree

Major

English Proficiency

(For Students from Non English-Speaking Countries)

TOEFL Score:     (Optional)

IELTS Score:                    (Optional)

(We accept either TOEFL or IELTS)

Section F: Background of Instrumental Study

1. Instrument:

Years of Instrumental Study:

2. Current Teacher Information:

Name:                        

Email:

Tel:

Section G: Audition Repertoire