Department of Music | Messiah College

General Information

Applicant:
Name:		Phone:
Address
Street:
City:		State:
Zip:		Email:

Educational Information

High School or Secondary School:
Name:
Address
Street:
City:		State:
Zip:

Future Plans

Year Entering College:

Program you wish to enter:

Performance Experience

Primary Performance Area:
Years of private instruction for primary:
Secondary Performance Area:
Years of private instruction for secondary:
Piano Study (If not already selected as primary or secondary)
Years of private instruction:

Memberships / Activities

Select the number you years you participated in the following groups.
High School Chorus:		High School Band:
High School Orchestra:		District Chorus:
District Band:		District Orchestra:
State Chorus:		State Band:
State Orchestra:		Church Choir:
Music Theory Instruction:

Musical References

Please include individuals who can evaluate your experience and ability in music.

Reference #1
Name:		Position:
Phone:
Address
Street:
City:		State:
Zip:

Reference #2
Name:		Position:
Phone:
Address
Street:
City:		State:
Zip:

Note: When you press the SEND button below, you will receive a message from the Messiah College Web Server that the form has been sent to Messiah College. If you do not see this message, please call the Department of Music at (717) 796-3310.