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Prospective Student Questionnaire

If you are interested in the Music Department at Old Dominion University, please take some time to fill out the questionnaire below. This form is designed so that you can fill it in on-line and then print it out for mailing. Please send the questionnaire to:

The Department of Music
Old Dominion University
Norfolk, Virginia 23529-0187

If you have any questions about the department or program requirements, please explore this web site and/or call the Music Department at 757-683-4061.

Name:
Address:

Email Address:
Phone:	Social Security Number:
Previous High School/College Attended:

YES Check here if you are a transfer student.
In what degree program are you interested?
	Music Education: Instrumental Vocal/Keyboard/Guitar Dual Certification (5 year program) Music Performance: Instrumental Vocal Keyboard Music Composition Music History (Bachelor of Arts) Interdisciplinary Studies (B.A.) Specify:
No. of years in performance? Private study? List your private teachers within the last four years:

List any secondary instruments and years of study:

Have you studied piano? How long?

When do you plan to begin college?

List representative repertoire studied within the last two years:

Performing organizations in which you have performed: (List organization, instrument, and chair (vocal: section leader?).)

Played solos in recitals, concerts, or other events in the past two years? Give details of the type of program, instrument(s) played, and compositions performed.

List solo and ensemble festivals in which you have participated. Give date, grade, composition performed, and rating received for each event. Indicate solo or ensemble.

List other performing experiences not listed above, such as Honors or All-State, etc.

If more space is needed for any question, please use a separate page and check here: