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Information Request Form

Please fill out this online form to receive more information about the USA Department of Music. Also, please contact the faculty member in your area if you would like to talk with someone about our programs.

GENERAL INFORMATION
First Name   • required
Last Name   •
Address   •
Apartment/Suite  
City      ST    ZIP        •
Phone   ()       -  •
E-mail    •
Date of Birth   / /         •
High School you attend(ed)    •
High school
graduation date		    •
  • Current Year in School  
High School Freshman
High School Sophomore
High School Junior
High School Senior 
College Freshman
College Sophomore
Other
Name(s) HS/College Band/Choir directors     •
Primary voice/instrument    •
Secondary voice/instrument  
 

YOUR INTENDED MAJOR   •
I plan to major in music
 

Music Majors Only:
Please select the
degree concentrations
that interest you.
You may select
as many as apply
Music Education
Music Performance
Elective Studies in Outside Fields
Elective Studies in Business 
Musical Theatre (through the Drama Department) 
     
I plan to minor in music, and I will major in
     
I will not major or minor in music.  I will major in
 
ENSEMBLES
Please place a check by any and all ensembles that interest you.
         
University Concert Choir
University Chorale
USA Opera Theatre		   Wind Ensemble
Symphony Band
Jazz Ensemble
Marching Band
Basketball Pep Band		   Chamber Music
Percussion Ensemble
Marimba Band
Flute Choir
Brass Quintet
Trumpet Ensemble
Tuba-Euphonium Quartet
Brass Ensemble
Guitar Ensemble
 
UNIVERSITY APPLICATION INFORMATION
  • Have you applied
for admission to USA? 		 
Yes
No
  • Have you been
accepted to USA?		  
Yes
No, not yet
  • Have you taken the ACT or SAT?   Yes
No
ACT or SAT Score   
What is your GPA?  
 
ADDITIONAL NOTES ABOUT YOURSELF OR QUESTIONS AND COMMENTS

 

 
 

Department of Music | Laidlaw Performing Arts Center 1072
University of South Alabama | Mobile, AL | 36688-0002
Phone (251) 460-6136 | FAX (251) 460-7328
music@jaguar1.usouthal.edu