Mr. Ms. Mrs. *

                 Last Name *
                 First Name *
              Middle Name 

                                   US Applicant International Applicant *
                            SSN *
                                    International Applicants without a SSN should enter a zero
                  Birth Date: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year *
          Current Address *
                                  
            City, State, Zip N/A AL AK AS AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA VI WA WV WI WY
  Country (if not USA)  
                                             if different from above
     Permenent Address
                                  
            City, State, Zip N/A AL AK AS AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA VI WA WV WI WY
    Country (if not USA)
                         Phone *
                          Email *

Transfer students only:
Have you studied private lessons (applied music) at the collegiate level?
If so, please indicate the following:
Institution and Location(s):

Course Number(s):

Part B: Application Information
Expected term of enrollment Fall Spring Summer *  Year: 2006 2007 2008 2009 2010 *
Specific Instrument or Voice Type
Bassoon Cello Clarinet Classical Guitar Euphonium Flute French Horn Oboe Organ Percussion Piano Saxophone String Bass Trumpet Trombone Tuba Violin Viola Voice–Soprano Voice-Mezzosoprano/Alto Voice–Tenor Voice–Baritone/Bass *
All instruments and voice are classical unless otherwise indicated.

Preferred Harper Applied Instructor, if known:
Professional Goals:

         
Applicants will receive a preliminary confirmation following submission of this application and request for an audition within 10 business days. Applicants should note particular calendar concerns in their initial request to audition. All auditions are individually scheduled. Applicants will be contacted to schedule a specific audition date and time.

Degree Sought AFA in Music AFA in Music Education AFA in Piano Pedagogy *

PART C. Background Information
Previous Educational Study
(please include high school and college/university studies)

Name of Institution	Years Attended	Degree Sought	Degree Earned	GPA

Letters of Recommendation
Applicants should submit at least one letter.
Indicate the names of the individual below.

Name	Relationship to Applicant

Please use the attached forms and ask the recommender to submit the form to the indicated individual.

To what other music programs are you applying?

What attracted you to the Department of Music at Harper College?

Reminder:  All applicants ust submit both this form and an application to Harper College. Please contact the Office of Admissions at 847-925-6707  or you may apply on-line.