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Delta State University Department of Music Interest Form
Please complete this form to receive the most up-to-date news and information about the Delta State Department of Music.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Mailing Address
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Your answer
Phone number
*
Your answer
What is your primary instrument?
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Your answer
What school do you currently attend?
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Your answer
What is your current year in school?
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High School Freshman
High School Sophomore
High School Junior
High School Senior
Community College Freshman
Community College Sophomore
Other:
What major are you considering pursuing at Delta State?
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Music Education - Instrumental
Music Education - Choral
Music Performance
Bachelor of Arts in Music
Minor in Music
Other
May one of our Department of Music Student Ambassadors contact you?
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Yes - I prefer a phone call
Yes - I prefer email
Yes - I prefer a text message
No
Any other questions or comments?
Your answer
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