Music Department
College of Liberal Arts, California Polytechnic State University, San Luis Obispo
California Polytechnic State University
First Name:
Last Name:
Address:
City: State: Zip:
Email (Cal Poly address required): @calpoly.edu
Phone (with area code xxxxxxxxxx):
Freshman
Sophomore
Junior
Major at Cal Poly
Major Advisor's Name
Expected Graduation Date (quarter and year)
Empl ID (Locate your Cal Poly EMPL ID on the ‘personal info’ channel of your mycalpoly portal)
Major GPA
GE GPA
Overall GPA
List the college courses in music that you have completed, the quarter and year taken, and the grade in each:
College Music Course 1:
School:
Term and Year:
Grade:
College Music Course 2:
College Music Course 3:
College Music Course 4:
Describe your music background other than college courses taken.
Describe your private instruction, including name of instrument or voice category, years studied, and with whom
Describe your keyboard skills level
What are your reasons for wishing to major in music and what are your long-range goals?
Name three references (with phone number) who are acquainted with your music activities
Reference 1:
Reference 2:
Reference 3: