Refer A Student

Are you a teacher, instructor or mentor to a gifted young person? Complete the form below to refer an outstanding young musician or performing artist to Morehead State University.

Student Name:*
Student's Email Address:*
Student's Phone:*	( ) - Second three digits Last four digits
Student's Address:*
Country:*
Area(s) of Interest:*	Music Theatre Dance
MUSIC - Principal Instrument/Voice Type:
When the student plans to attend MSU:*
Desired Major:*
High School:*
Student's Music/Theatre/Dance Director:*
List the student's Musical/Theatrical/Dance Awards & Honors:
List the student's private teachers and number of years of study with each:
Referrer's Name:*
Referrer's Email:*
Referrer's Phone:*	( ) - Second three digits Last four digits
Referrer's Mailing Address:*