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Music Interest Form
  
 

PERSONAL INFORMATION
First Name:
Phone:
Last Name:
Gender:
Address:
City:
 
State:
Zip Code:

ACADEMIC INFORMATION
High School:
HS Graduation Year:
Class Size:
ACT Composite:
Class Rank:
SAT Verbal:
GPA:
SAT Math:

INSTRUCTION/ACADEMIC INTEREST INFORMATION
Music Director:
Private Teacher:
Principal Performing Area:
 Years of Study: 
I Also Play (secondary instrument):
 Years of Study: 
Academic Interests:

PERFORMANCE INFORMATION 
I have
participated in:
All-State Auditioner:
All-State Member:
Solo Contests Rating:
 District:  State:
At Wartburg, I will be interested in:
Would you like to be contacted by a music professor from Wartburg College?

Please enter your e-mail:    

You will be redirected to the music department once you submit this form. If you are interested in auditioning for a Meistersinger Music Scholarship, click on the scholarship link on that page.

 


Wartburg College - 100 Wartburg Blvd. - Waverly, IA 50677 - (800) 772-2085