NU-TRAX
INC.
CHRISTIAN MUSIC STUDIO
CHRISTIAN MUSIC STUDIO
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APPLICATION FOR ADMISSION Nu-Trax
Academy of Christian Music Private
Music Lessons CONTACT
INFORMATION Last Name
_____________________________ First Name _____________________________Middle
or Maiden _________________ Hm
Ph: _________________ Wk Ph: ________________Date of Birth: ______ / ______
/______ [] Male [] Female Mailing
Address: ______________________________________________________ City
_________________________________ State ___________ Zip ____________ What program do you wish to enroll in?
Vocal []
Instrumental [] BACKGROUND INFORMATION (Information taken to better serve you as a student.) Present
Occupation: (student etc.)________________________________ Name
of your local church: _____________________________________ Pastors Name
______________________ Pastors
phone #: _______________________. Are you involved in your
local church? [ ] Yes [ ] No [ ] Explain?
_____________________________________________________________________________ How
long? ____________ Years _____________months __________ What
denomination do you classify yourself as being?
_____________________________________ EDUCATIONAL INFORMATION Name
of Public School City County State ______________________________
/ _______________________ / ______________________ / ___________ Date
of Graduation ______ / ______ / ______ If
you did not graduate, what is your level of education
________________________________________ List all Musical background you have: (ie. Church choir, school choir,
band). Attach additional sheets if necessary. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Goal:
(Where do you want to be in one year?)
___________________________________________________________________________________________ |
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Send mail to bernicem@nutraxstudio.com with
questions or comments about this web site.
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