Name:

Email Address:

Home Phone:

Cell Phone:


Major:


Instrument:


How long have you played?

Years of private study:


Name, address, telephone number, and email address of your private teacher:


Name, address, telephone number, and email addressof your high-school orchestra director:


Do you require the use of a school instrument?
Yes
No

Pre-register for Orchestra?
It is highly recommended that students intending to audition and play in the orchestra pre-register for orchestra.  Doing so will prevent a schedule conflict between orchestra and a Wednesday evening lab session or Wednesday evening section of a class.  Should you not pre-register and you have been assigned a Wednesday evening class it is possible to change your schedule after you arrive at Bucknell, but the process can be difficult, time consuming, and not always successful.
Yes
No

Examples of repertoire (etudes or solo pieces) studied or performed:


Examples of works performed by your present orchestra(s):


Please list any other ensemble experience, such as membership in community or youth orchestras, All-County Orchestra, District or All-State Orchestra, chamber music groups, etc.