Applied Music Registration Form

Student Information

Student Name*

First Last

Student KWC Email*

Enter Email Confirm Email

Student ID*

Major Verification*

Are you an officially declared Music Major or Music Minor? NOTE: Only officially declared music majors or music minors may enroll in an Applied Music course.

Yes
No

Course Information

Course Name*

Type the course name . For example, MUS153, ART111, MATH104.

Course Title*

For example, "Art History", "Probability and Stats", "Music Appreciation"

Credit Hours*

Enter the number of Credit Hours for the course. This must be completed by the Music Faculty.

Semester*

Year*

Music Advisor's Information

Music Advisor's Name*

First Last

Music Advisor's Email*

Enter Email Confirm Email

Note to Students:

When you click "Submit", you will see a preview of the advisor's signature form. If all the information on the preview is correct, simply CLOSE THE WEB PAGE. If you see an error, come back to this form and resubmit your request.