Candidate Information for Music Scholarship

	Request More Information Trine University 1 University Avenue Angola, IN 46703-1764

Phone (260) 665-4132 FAX (260) 665-4578 E-mail admit@trine.edu

All items preceded with an * must be completed before submitting your inquiry.

Personal and Academic Information
*First Name
*Last Name
*Street
*City
*State
*Zip/Postal Code
Enter country if outside the US
Primary Phone
Cell Phone
E-mail
*Gender	Female Male
High School Name
High School Grad. Year
Select a Major
*Are you Transfer Student?	Yes No
Music Interest Select area of interest below. For those selected rank in order of strengths/desire for Trine University.
Instrumental: Instruments, primary first:
Choral: What voice part(s):
Color Guard: Equipment I've had experience using:
Accompanist: Number of years I've played piano:
I am currently performing in one or more groups. (please, identify the groups)
I have competed in state music competitions. (please, explain yuor involvement and the results of the competition)
I participated in musical theatrical productions. (please, identify roles played, stage work, involvment in the orchestra, etc)
Do you read Music? Yes Some No
Ensemble Interest I am interested in performing in the following ensembles at Trine University (check all that apply):
Marching Band Wind Ensemble Jazz Band Jazz Combo Chamber Orchestra	University Choir Choral Concourse Musical Theatre/Opera Ensemble Percussion Ensemble Brass Ensemble
Other Information
Do you plan to participate in a varsity NCAA Division III sports at Trine?	Yes No
	Baseball (Men's) Basketball (Men's and Women's) Cross-Country (Men's and Women's) Football (Men's) Golf (Men's and Women's) Indoor Track (Men's and Women's) Outdoor Track (Men's and Women's) Soccer (Men's and Women's) Softball (Women's) Tennis (Men's and Women's) Volleyball (Women's) Wrestling (Men's) LaCrosse (Men's and Women's)
Have you: (please,check all that apply for Trine University)
	Applied Admitted Deposited Visited Campus Talked to a representative of the music programs
By submitting this form I am showing my interest to pursue active participation in one or more music groups.