Application for Acceptance and Scholarship Complete the following form, print it, and mail it to: University of Mary Hardin-Baylor Department of Music 900 College St. - UMHB Box 8012 Belton, TX  76513 You may also fax it to us at 254-295-4158.

Personal Information

First Name Middle Name Last Name Address City State Zip Telephone E-mail address High school or college currently attending Parent's Name

Musical Training

Principal performing medium (voice, piano, trumpet, etc.) Years of private study Instructor's Name Instructor's phone

Secondary performing medium(s) Years of private study Instructor's Name Instructor's phone

Performance Experience

Solo experience Ensemble experience UIL Contests (Solo, Ensemble, etc.) TMEA Auditions TAPPS Competitions

Academic Information

Estimated grade-point average A    A-B   B    B-C   C    SAT score (if known) ACT score (if known)

Statement of Intention

If I choose to attend and if I am accepted as a student at the University of Mary Hardin-Baylor my academic major will be: Church Music Composition Music Education Music History Performance BA in Music Other If I chose "Other" above, my intended major will be If I chose "Other" above, I intend to minor in Music     Yes     No

After college my career plans are to be a: (check all that apply) Band Director Choir Director Elementary Music Teacher Private Music Teacher Church Musician Professional Performer College Music Teacher Career in music-related business Other

I intend to audition on: Feb 6, 2010 Mar 6, 2010 Mar 27, 2010