MIT Summer Programs College Fair

Student Information

First Name

Preferred First Name (If you wish to be addressed by a first name other than the one listed above, please indicate your preferred name in the space below.)

Middle Name

Last Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Cell Phone

High School/College Information

I would enter the University in

as a

Most recent school

Academic interest

I am interested in the following Northwestern undergraduate schools

Arts and Sciences (Weinberg College of Arts and Sciences)

Communication (School of Communication)

Education and Social Policy (School of Education and Social Policy)

Engineering (McCormick School of Engineering and Applied Science)

Journalism (Medill School of Journalism)

Music (Bienen School of Music)

What musical area of study are you interested in?*

What is your specific instrument or voice part? (Note: instruments listed below correspond to available programs at Northwestern; if you do not see your instrument and have questions, email musiclife@northwestern.edu)*

What is your specific instrument? (Note: instruments listed below correspond to available programs at Northwestern; if you do not see your instrument and have questions, email musiclife@northwestern.edu)*

What is your specific voice part? (Note: voice parts listed below correspond to available programs at Northwestern; if you do not see your instrument and have questions, email musiclife@northwestern.edu)*