| | 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: Back to application page | |