SMSU - Request for Information

Request for Information

If you would like more information about the Music Program at Southwest Minnesota State University, please complete the questions below, and someone will respond as soon as possible.

Prospective Student Information

Name (Last, First, Middle)

Email Address*

Home Address

City, State, ZIP

Home Phone Number

Parents

I am Male
Female

Background Information

Current High School, Tech College or University

Graduation Month/Year

Name of Ensemble Director

Primary Instrument or Voice Part

Secondary Instrument or Voice Part

Name of Private Lesson Instructor (if applicable)

Years of Study

Areas of Interest

Check all that apply Jazz Band
Concert Choir
Womens Bella Voce
Mens Glee Club
Pep Band
Orchestra
Concert Band

Study Plan

Have you been accepted at SMSU?

Year Entering SMSU

College Classification

Expected Major at SMSU

Expected Minor at SMSU (if applicable)

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