Prospective Student/Music Scholarship
Application
(please type or print clearly)
Student Information Audition Date & Time
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Name |
Social Security # |
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Home Phone # |
E-Mail Address |
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Street City State Zip |
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Conway Address (if known) |
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High School Graduation Date |
When do you plan to enter UCA? |
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Have you applied for admission to UCA? If yes, when? |
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Grade Point Average |
ACT or TOEFL score |
Classification Information
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Freshman [] Sophomore [] Junior [] Senior [] Graduate Student [] Transfer from |
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Major performing medium (flute, piano, voice, etc.): |
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Secondary medium (flute, piano, voice, etc.): |
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| Other interests: small vocal ensemble [] jazz ensemble [] musical theater [] twirling/flags [] | |
| Probable field of study: Bachelor of Arts degree [] Bachelor of Music degree in Performance [] Bachelor of Music degree in Education [] |
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Student Achievements: List some of your musical experiences and honors (orchestral, band, choral, etc.):
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______________________________ Signature of Applicant |
Mail to: |