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| *First Name *Last Name |
| *Current Year in School |
| *Address |
| *City *State *Zip Code |
| *Home Phone Cell Phone |
| *Email |
| *How did you hear about William Jewell College? |
| Academics |
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| Check all that apply: |
| I am considering participation in Choir Band Orchestra, but not as a music major |
| I am considering a music minor |
| I am a prospective music major: |
| Bachelor of Arts in music (instrument/voice part: |
| Bachelor of Science in Music with an emphasis in: |
| Music Education (Instrumental, Vocal) |
| Performance (instrument/voice part: |
| Church Music |
| Theory/Composition |
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| Yes No I would like to schedule a meeting with a member of the Music Faculty. |
| Yes No I would like to schedule a mini-lesson with a member of the faculty? If so, on which instrument or voice part? |
| Additional Info |
| Please include any specific questions you would like us to answer for you. |
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