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Social Security:
Name:
Mailing Address:
City:
State:

Zip:

Phone:
High School:
High School Phone:
Graduation Date:
Parents' Names:
Instrumental Music Teacher:
Teacher's Phone:
GPA: ACT Composite:
Proposed Academic Major(s):
Major Instrument:
Secondary Instruments:
Private Teacher:
Teacher's Phone:
High School Activities:
Honor Bands:
Contest Solos (titles and ratings):
Do you sing? Yes   No
Do you act? Yes   No
Other colleges you are considering: