Simpson College
Music Weekend Audition Registration
First Name:
Last Name:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Phone Number:
Email Address:
*
High School:
Graduation Year:
College, if transfer:
Music Major?
Yes
No
Other Major:
Audition area 1:
Audition area 2:
Audition area 3:
Do you need an accompanist?
Yes
No
Arrival Date, Time
Departure Date, Time
Will you need overnight housing (students only)?
Yes
No
Would you like to schedule a campus tour and visit with an admissions counselor when you are here?
Yes
No
I would like to visit a class or visit with a professor in this area:
Comments: