Ensemble Request Form

Instrument (or Voice)

Major Concentration

First Name Last Name

Year

Email

Telephone

Student ID#

I am a

Current Private Lessons Teacher*

*All students must be enrolled in private lessons in order to play in an ensemble. If you have not yet been placed with a teacher, please write "none".

Previous Ensembles: (Abbreviations are okay, i.e. 3CVJE)

Semester 1
Semester 2
Semester 3
Semester 4
Semester 5
Semester 6
Semester 7
Semester 8
Other Ensembles

Ensemble Preferences (you must indicate 1st, 2nd and 3rd choices)

1st 2nd 3rd

Please check if you are interested in: CUP Program