Hampton University - Summer Programs

Music Enrichment Program (HUM)
Summer 2008 Application

Summer Programs Home

Admissions

Mail your completed application to:
Dr. Shelia J. Maye, Chair
Department of Music
Hampton University
HU Music Enrichment Program
Attn: Mr. Jerry Bracey, Coordinator
Hampton, Virginia 23668

Last Name:

First Name:

MI:

Date of Birth:

Age:

Address:

City:

State:

Zip:

Home Phone: ( ) -

Emergency Phone: ( ) -

School attended '07-'08:

Grade completed:

Parent or Guardian's Name(s):

Enclosed is $150 non-refundable deposit

Enclosed is $300 full payment

Indicate 1st and 2nd choice of instrument you would like to study:
(write "1" or "2" in squares)

	Piano	Strings	Guitar
Voice	Recorder	Brass	Woodwinds

List instrument(s) you have studied:

Beginner Intermediate Advanced

*Beginner instruction is limited to the following instruments: violin, viola, cello, clarinet, saxophone, trumpet, trombone, piano, voice, and guitar.