Starling Preparatory String Project Application

Today's Date ___________

Student's Last Name ___________________ First Name___________M.I._____
Date of Birth ____________ Age____ Sex____ SS#______________________

Student's Address____________________________________Apt. No.______
City__________________State___Zip________ Tel. (____)___________
Fax (____)___________E-mail_________________

Parent(s) Name(s) ________________________________________________
Address___________________________________________Apt. No.______
City__________________State___Zip________Home Tel. (____)___________
Work Tel (____)__________Fax (____)___________E-mail_________________


Instrument____________________________
Years Studied__________________________
Former Teachers________________________

Name of Current School_____________________________Grade__________
School Address_________________________________________________
Principal's Name_________________________________________________
Principal's Phone(___)_____________E-mail___________________________

PLEASE FAX THIS FORM TO (513)556-7896 OR MAIL TO:

STARLING PREPARATORY STRING PROJECT
OFFICE OF PROF. KURT SASSMANNSHAUS
COLLEGE-CONSERVATORY OF MUSIC
UNIVERSITY OF CINCINNATI
P.O. BOX 210003
CINCINNATI, OH 45221-0003

FOR OFFICE USE ONLY:

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