STUDENT INFORMATION FORM
All students auditioning for Vocal Music Scholarships must have already applied and been admitted to the college
and submitted an online scholarship audition request. This form is to be completed and e-mailed to
vocalmusic@butlercc.edu or printed and brought to your in-person vocal music audition.
Student First name Student Last name
Student ID Number
Voice Part Cell Phone Home Phone
High School Name City Name of High School Music Instructor
Preferred E-mail Address
Have you taken college courses from another institution?
Yes
No
If so, where & how many hours earned?
State your intended major or describe your plan of study.
Housing Plans:
yes no
Request College Housing
Reside in Off-Campus Housing
Commute from Family Home
Do you plan to work outside of school?
Yes
No
If yes, how many days/hours and where (if known)?
Describe your performance background and experience in each of these activities:
(1) Vocal Music (2) Instrumental Music (3) Dance (4) Theatre
References
Name Phone Number Relationship
Name Phone Number Relationship
Sizes (for costuming purposes)
Butler Vocal Music prides itself on inclusion and non-biased acceptance. Certain ensembles require students to wear
costumes that are already purchased by the college. Your information will be used to help plan the budget necessary
to adequately outfit new students.
Height Unisex T-Shirt Size Street Shoe Size Waist & Inseam Size
Jacket Size (if applicable) Dress Size (if applicable)
By checking this box, I agree to not take evening classes if on a Vocal Music Scholarship.
I agree.
I agree to not drastically change my appearance, including but not limited to changing hair color or adding
piercings or tattoos, from my auditioned appearance.
I agree.
Please list any other relevant information regarding yourself, your education, your schedule, your health, or your
talent that you would like to share with the faculty.