Eastman School of Music Inquiry Form

Basic Information

* = Required field

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?

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