Music Scholarship Application

Fields marked with an * are required

Student Information

Student Personal Email Address *

First Name *

Middle Name

Last Name *

Permanent Address *

Country

Street

City

Region

Postal Code

Student Cell Phone *

Gender

Music Information

High School or Current Information

School CEEB: HIDDEN

Music Teacher

Music Teacher Email

Music Scholarship Audition Selection

Select One *

Music Education

Music Performance

Music Composition

Ensemble Participation

Select your instrument/primary area of study

Select your secondary area of study

Select your audition instrument

Music Scholarship Audition Date

Select your audition date using the checkboxes below
Audition dates are:

Saturday, February 26, 2022
Friday March 11, 2022
Tuesday, April 12, 2022

02/26/2022

03/11/2022

04/12/2022

If you are not able to audition on one of the above dates, select an option below

Schedule audition during a personal visit

I plan to submit my audition virtually

Academic Information

Major *

Are you interested in a minor?

Yes

No

Select your minor

Student Term*

Additional Information

How did you first learn about Clarke University?

Please indicate who referred you to Clarke University.

Please provide more detail.