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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:
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
Dual Certification

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:

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Updated June 2000. For changes or corrections, please contact
Bijay K. Singh or the Department of Music, 683-4061.

All images and text are ©1997, 1998 Old Dominion University,
Norfolk, Virginia, USA. All rights reserved.