Information Request

Department of Music Information Request

Thank you for your interest in music programs at Millersville University. Please fill out the following Information Request form.

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Date of Birth Date of Birth / MM / DD YYYY
High School Attended
Planned Semester of Entry
Email Address
Specific Instrument and/or Voice Category

E.g. trumpet/piano/soprano or low brass, cello, organ, and alto
Curriculum of Interest

Curriculum of Interest BSE - Music Education Music Business & Technology BA in Music Music Minor Undecided
Please choose at least one curriculum of interest.