CSUEB Department of Music - music interest reply Form

Music Interest Form
If you are interested in studying music at CSUEB and would like more information, please fill out the form below.
We look forward to hearing from you!

CONTACT INFORMATION:

Name
First Name:
Last Name:

Email Address:

Telephone:

Street Address:

City:

State

Zipcode

INTEREST INFORMATION

Select areas of interest:

Choral

Opera

Band

Orchestra

Jazz

Vocal

Keyboard

Guitar

Strings

Composition

Jazz

Music Technology

Music Education
Indicate voice range
and/or main instrument below:
Voice Range:

Keyboard:

Strings:

Woodwinds:

Brass:

Percussion:

TELL US ABOUT YOURSELF

Name of private teacher (if applicable):

Number of years in private lessons:

Name and City of High School Attended:

Name and City of College(s) Attended:

When are you planning to enroll at CSUEB?

Have you been accepted to CSUEB?
Yes No

I will be attending CSUEB as a:
New Freshman
Transfer Student
Graduate Student

We invite you to visit us and are happy to schedule an on-campus visit for you to experience our classes and meet our faculty, staff, and students.
Would you like to be contacted to schedule a visit?
Yes No

Would you like to receive bi-monthly "Music Notes Updates" reminding you about performances and recitals?
Yes No

What musical honors and awards have you received?

What else should we know about you?
Thank you for your interest in studying music at California State University, East Bay!

Music Department Telephone: (510) 885-3135 / FAX: (510) 885-3461
Email: music@csueastbay.edu



Music Department - 2573 Music & Business, CSUEB, Hayward, CA 94542 (510) 885-3135		Webmaster E-mail