Music Inquiry Form

* denotes a required field

About You

Email address *

Legal first name *

Preferred first name (what should we call you?) *

Last name *

Birthdate *

How Can We Reach You?

Mailing address *

Country

Street

City

Region

Postal Code

Home phone

Mobile phone

Parent's Email Address

Parent First Name

Academic Info

I am home schooled

Your most recently attended institution: *

Type of student *

When do you plan to enter college? *

When do you plan to transfer?*

What is your primary academic interest? *

Musical Experience and Interest

Musical Performance Area(s)

Instrumental

Voice

Vocal Part

DeleteInstrument _ID_
Please select instrument(s) and number of years played
Instrument Number of Years Playing this Instrument

Add additional instrument

Select any music ensembles that interest you:

Wind Symphony/Concert Band

Symphony Orchestra

Jazz Ensemble/Combo

Choir (Whitworth Choir/Women's Choir/Men's Chorus)

If you're interested in majoring in music, select one or more areas below:

Please tell us about your musical experience - ensembles, private lessons, awards and honors, or any other musical experiences you would like us to know about (100 words).