MiraCosta College Music Department - Student Information Form
Tell us some about your background, your interests, and your educational goals.
Today's Date
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Month
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Day
Year
Date
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
City
*
Last School Attended Before MCC (High School/College)
Last College Attended (if any)
I am interested in: (please check all that apply)
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Individual Instruction Program (Music Major)
Choral Ensemble
Jazz Ensemble
Vocal Jazz Ensemble
Symphony Orchestra
Popular Music Ensemble
Musical Theatre Ensemble
Group Voice Classes
Group Guitar Classes
Other
What is your primary instrument?
*
Please Select
Voice
Piano
Guitar
Bass
Drums/Percussion
Violin (or other strings)
Saxophone
Trumpet
Trombone
Flute
Clarinet
Oboe
Organ
Other
Select one from this menu
Optional: What are your secondary instrument(s)?
Voice
Piano
Guitar
Bass
Drums/Percussion
Violin (or other strings)
Saxophone
Trumpet
Trombone
Flute
Clarinet
Oboe
Organ
Other
Secondary Instrument(s):
What style of music do you intend to primarily study?
*
Classical
Jazz
Commercial
Other
Have you taken a course or courses in music theory?
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Yes
No
What is the highest level of music theory you have completed?
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Do you read music?
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Yes
No
How would you describe your level of proficiency of music reading?
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Student Name
What are your academic goals?
*
What are your long term music goals?
*
Questions/comments:
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