2022/23 PCM College Prep Supplemental Application
DO NOT FORGET TO COMPLETE ENROLLMENT ON REGISTRATION WEBSITE.

Welcome to PCM's College Prep. Program (CPP)! We are glad you are interested in joining our musical community and we look forward to making some great music with you.

Please pay attention to which fields are required and make sure to fill in any and all required information.

**ONCE WE RECEIVE YOUR APPLICATION, OUR PROGRAM MANAGER WILL REACH OUT TO YOU TO SCHEDULE AN AUDITION**

If you have any further questions please don't hesitate to reach our Program Manager: Meghan Ruel (mruel@pcmrocks.org)
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Student's Name: *
Student's Birthday: *
MM
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Student's Email Address: *
Student's Cell Phone Number: *
(type N/A if not applicable)
Primary Parent/Guardian Name: *
Parent/Guardian's Email Address: *
Parent's Cell Phone Number: *
Student's grade point average (GPA): *
What is your student's ethnicity? *
Please describe any extracurricular activities the student is involved in and the days they occur: *
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