MiraCosta College Music Department - Student Information Form

MiraCosta College Music Department - Student Information Form

Tell us some about your background, your interests, and your educational goals.
Today's Date

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
City*
Last School Attended Before MCC (High School/College)
Last College Attended (if any)
I am interested in: (please check all that apply)*

Individual Instruction Program (Music Major)Choral EnsembleJazz EnsembleVocal Jazz EnsembleSymphony OrchestraPopular Music EnsembleMusical Theatre EnsembleGroup Voice ClassesGroup Guitar ClassesOther
What is your primary instrument?*
Select one from this menu
Optional: What are your secondary instrument(s)?

VoicePianoGuitarBassDrums/PercussionViolin (or other strings)SaxophoneTrumpetTromboneFluteClarinetOboeOrganOther
Secondary Instrument(s):
What style of music do you intend to primarily study?*

ClassicalJazzCommercialOther
Have you taken a course or courses in music theory?*

YesNo
What is the highest level of music theory you have completed?*
Do you read music?*

YesNo
How would you describe your level of proficiency of music reading?*
Student Name
What are your academic goals?*
What are your long term music goals?*
Questions/comments:
Should be Empty: