South Carolina State University

SC State University Online Music Registration Form

Please complete the registration form below to schedule an audition for the Music Program. Have questions? Visit our website: www.scsu.edu/music for information on audition requirements, faculty contact information, and to learn more about our program.

Your Name

First Name

Middle Initial

Last Name

Major and Performance Area

Intended Major

Your principal performance area (voice or instrument)

Secondary Instrument (If Applicable)

Audition Date

If you cannot attend one of the dates below, you may request an alternate date. Every attempt will be made to accommodate alternate date requests; however, prospective students should wait for confirmation from the Program Coordinator to ensure the date will work.

	February 2, 2013
	March 23, 2013
	I am unable to audition on any of these dates. Note: You MUST contact Dr. Rosetta Dingle (803.536.8886 or rdingle@scsu.edu) to schedule an alternate date.
	Other:

Contact Information

Email Address

Phone Number

Parent(s)/Guardian(s) Name(s) *

Address

City

State

Zip Code

Additional Comments and/ or Questions