MHU Music Interest Form
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Legal first name? *
Legal last name? *
Preferred name (if different from legal name)?
What is your cell#?
What is your primary email? *
What is your secondary email
What is your primary instrument? *
What is your secondary instrument (if any)?
When do you plan to start college? *
Name of school you are presently attending (or previously attended if you have graduated). *
What is your interest in music? *
Date of Birth (used for scholarship consideration) *
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Street Address or PO Box *
City *
State *
Zip *
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