Eastman School of Music Inquiry Form

Basic Information

First Name

Nickname/Preferred Name

Middle Name

Last Name

Birthdate

E-mail Address

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

May we communicate with you occasionally by text message?

If you would like to recieve a brochure, please choose a method

Would you like to be notified about upcoming live-streamed performances on our website?

Program Information

When do you wish to enroll?

What degree will you be applying for?

Intended Major(s)

Primary Instrument

Are you interested in the University of Rochester's Dual Degree program offered jointly by Eastman and the College of Arts, Sciences and Engineering?

Yes

No

Who or what has most influenced your interest in Eastman?

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School CEEB code