REFER A STUDENT

Do you know an outstanding young musician or other performing artist that might be interested in the educational opportunities at Morehead State University?  Submit this form so that we may contact them!
 

Student Information

Student's First Name:
 

Street Address:
 

City:
 

State:
 

Zip:
 

Country (if not US):
 

Student's Phone:
 

Student's E-mail Address:
 

Student Interest Area (check all that apply):   

 If music, principal instrument / voice type:
 

When He / She Plans to Attend MSU:
 

What Major Will He / She Pursue:
 

High School:
 

Name of Student's High School Music/Theatre/Dance Director:
 

Please indicate student's musical/theatrical/dance awards and honors:
 

Please list student's private teachers and number of years of study with each:
 

Referrer Information

Name of Referrer:
 

E-mail Address:
 

Mailing Address:
 

Phone: