Name:(*)
Required field

Instrument:(*)
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Local Telephone #:(*)
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Permanent Telephone #:
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Your Email:(*)
We need your email address.

Do you have a car?(*)
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Are you a Music major?(*)
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Are you a Musicology major?(*)
Invalid Input

Are you an Ethnomusicology major?(*)
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Are you Graduate or Undergraduate?(*)
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What year are you in school?(*)
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Current GPA?(*)
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Units per quarter?
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Local address--street:(*)
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Local address--city:(*)
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Local address--state:(*)
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Local address--zip code:(*)
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Student ID#:(*)
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Are you currently on financial aid?(*)
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Grade level preference--you may choose more than one:
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Please briefly describe why you are interested in participating in this program(*)
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