Prospective Student
Information Form
Name
: Birth Date:
Email:
Phone: Cell:
Address: City: State:
Zip:
Check fellowships auditioning for: (Click all that apply) Band Vocal Piano
Audition Date: Major Area: Instrumental Vocal Piano
Have you applied to Tech? Yes No
Have you sent your transcript? Yes No
Principal Instrument:
Voice
Classification:
High School: GPA: ACT:
Have you taken Music Theory? Yes No
Have you taken Piano Lessons? Yes No
Describe your musical activities from the last two years. Include All-Region, All-State, School
Participation, Solo & Ensemble, Church, or Community Musical Activities.
Dr. Daniel Belongia
Director of Bands
dbelongia@atu.edu
Dr. Christopher Harris
Director of Choirs
charris51@atu.edu
Dr. Timothy Smith
Piano
tsmith@atu.edu