First Name:
Last Name:
Address:
City:
State:
Zip:
Country
Phone:
Use hyphens or space to separate numbers, ex. 717-555-1212
E-mail:
Additional E-mail:
Year you expect to enter college:
Program you wish to enter:
As a:

Experience in Music:

Your Primary Performance Area
(Instrument or Voice Part):
Years of private instruction in your performance area:
Secondary area:

Number of years you have participated in the following ensembles:

Orchestra:
Symphonic Band:
Jazz Ensemble:
Other Kinds of Bands:
Chamber Ensembles:
District or State Ensembles: If yes, what kind
Choir:
Other vocal ensembles, Musical Shows, Solos:
Other:
Amount of instruction you have had in Music Theory:
Amount of instruction you have had in Music History:

Please indicate which ensembles you would be interested in at Dickinson:

Dickinson Orchestra:
Chamber Music (Strings/Mixed/Brass/Wind/Guitar):
College Choir:
Collegium (Chamber Choir):
Symphonic Band:
Jazz Ensemble:
Not interested in any ensembles:

Please indicate which private music studies you would like to pursue at Dickinson:

Piano:
Organ:
Voice:
Violin:
Viola:
Cello:
Double Bass:
Guitar (Classical):
Flute/Piccolo:
Oboe/English Horn:
Clarinet:
Bassoon:
Saxaphone:
French Horn:
Trumpet:
Trombone:
Tuba/Euphonium:
Percussion: If yes, which instrument
Jazz Piano:
Composition:
Not interested in any music studies:
Harpsichord:
Organ:
Other Instruments:
How do you envision your contributions to the music program at Dickinson College and how do you believe our program will enable you to realize your musical goals?