Audition & Scholarship Application

Today's Date:

First Name:

Last Name:

Middle Name/Initial:

Name You Prefer To Be Called:

Address Line 1:

Address Line 2:

City:

State: ----------- Alaska Alabama Arkansas Arizona California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missourri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Zip Code:

Home Phone:

Cell Phone:

Email Address:

Intended College Major: ----------- Music Education - Instrumental Track Music Education - Vocal Track Music Education - Integrated Track Music Performance - Vocal Music Performance - Instrumental Liberal Arts - Major in Music Music Minor Master of Arts in Education - Music Education

Primary Instrument/Voice Part: ----------- Bassoon Cello Clarinet Double Bass Euphonium Flute Guitar Harp Horn Oboe Organ Percussion Piano Trombone Trumpet Tuba Saxophone Viola Violin Voice - Soprano Voice - Mezzo Voice - Alto Voice - Tenor Voice - Baritone Voice - Bass

Secondary Instrument/Voice Part: ----------- Bassoon Cello Clarinet Double Bass Euphonium Flute Guitar Harp Horn Oboe Organ Percussion Piano Trombone Trumpet Tuba Saxophone Viola Violin Voice - Soprano Voice - Mezzo Voice - Alto Voice - Tenor Voice - Baritone Voice - Bass

Have you applied for Admission to WKU? ----------- Yes No

Are you applying for an Academic Scholarship at WKU?
(To be considered for a music grant/scholarship students must apply for WKU Admissions before March 1) ----------- Yes No

High School:

Year of HS Graduation:

ACT:

SAT:

High School GPA:

Musical Honors

Indicate the number of years during high school that you received each of these honors.

All-State Band: ----------- 1 2 3 4

All-State Choir: ----------- 1 2 3 4

All-State Orchestra: ----------- 1 2 3 4

All-District Band: ----------- 1 2 3 4

All-District Choir: ----------- 1 2 3 4

All-District Orchestra: ----------- 1 2 3 4

Distinguished/Superior Rating at Festival - Solo: ----------- 1 2 3 4

Distinguished/Superior Rating at Festival - Ensemble: ----------- 1 2 3 4

Governor's School For the Arts - Instrumental Music: ----------- 1 2 3 4

Governor's School For the Arts - Vocal Music: ----------- 1 2 3 4

Governor's School For the Arts - Piano: ----------- 1 2 3 4

Governor's School For the Arts - Musical Theatre: ----------- 1 2 3 4

Other Music Honors: (Please List)

Private Teachers: (Name, Instrument/Voice and Years)

Briefly explain your career goals:

How did you hear about the WKU Music Program and decide to apply here?

Upload a Resume: (Optional - .doc, .docx, .pdf, .txt)

Audition Date:

Saturday, January 28, 2012 is for WKU Honors Band Clinic participants ONLY ----------- Saturday, January 28, 2012Friday, February 17, 2012Saturday, February 18, 2012Friday, February 24, 2012Saturday, February 25, 2012 Other by Appointment

Any Additional Information you would like to provide: (Please also use this box to communicate some idea of your availability if you have requested "Other by Appointment" as an audition date.)