Department of Music Spend-a-Day

Personal Information
First Name *
Last Name *
Instrument or Voice *
Planned Major *
Year in School *
What is your preferred day of the week for your visit?
Do you have a specific date in mind?
Contact Information
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Applicant's Mobile Phone Applicant's Mobile Phone - ### - ### ####
Email *
School Information
Name of High School or College *
Additional Comments or Questions