Music Scholarships Application

If you have any question, please give us a call at:

(701) 252 - 3467 ext. 5562

(800) 336 - 2554

Date I'd like to audition: *

April 8, 2013 (please choose a time between 1-4 pm)

Alternate Date - please choose a date below

Alternate date:

Time I'd like to audition: *

PERSONAL INFORMATION

Email: *

First Name: *

Middle Name: *

Last Name: *

Street Address: *

City: *

State: *

Zip: *

Phone Number: *

Name of High School:

Location:

Year of Graduation:

Instrument:

Part Sung in Choir:

PLEASE COMPLETE IF YOU KNOW:

GPA:

ACT:

SAT-I:

Anticipated major at Jamestown College:

I'm interested in the following area of music (choose all that apply):

Band

Choir

Keyboard

Strings

For security purposes:

Math question: * 1 + 6 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.