Calhoun Conservatory of Music                               
Application for Admission
PO Box 9252
Savannah, Georgia 31412
912-247-3424 | admissions@calhounconservatoryofmusic.net | www.calhounconservatoryofmusic.net
School of Church Music | School of Music Education | School of Private Music Education | School of Classical, Broadway and Jazz | Summer Music Program For Kids | Fall Music Program For Adults
A nonrefundable application fee of $50 toward first quarter fees must accompany all applications.
Applicant's full legal name:        First (Given) Name         Middle Name        Last (Family) Name        Preferred Name
 
Social Security Number (Reguired for U.S. residents)                E-mail
                     -       -  
                    Month        Day        Year
Birth Date                     /             /               Birthplace (city/state/country)
 
Permanent home address
 
City/state                                                                                            ZIP/Postal code
 
Country                                                                                            Telephone
 
Mailing address (if different from above)                                      month         day          month         day
                                                                                       from                /             to             /
 
City/state                                                                                            ZIP/Postal code
 
Country                                                                                            Telephone
 
ENROLLMENT    Check one.
 First-year student/undergraduate          Transfer student/undergraduate        
 Graduate ____B.A. ____M.M.          Transient          Nondegree-seeking          Auditing
Briefly describe educational goal:
TERM    Check one, fill in year.
I plan to enroll:     Fall (September) 20_____          Winter (January) 20_____        
 Spring (March) 20_____          Summer (June) 20_____        
CITIZENSHIP    Check one.
I plan to enroll:     U.S. citizen           Permanent resident (copy of green card required)        
 Non-U.S. citizen         Country of citizenship ______________________    visa type ___________________
TEST SCORES    Enter score (if available).
 SAT score_________           ACT score_________          GRE score_________
         TOEFL score_________          THEORY EVALUATION score_________
EDUCATION HISTORY
Name of high school                                 City/state                                Date of graduation
 
Are you currently attending or have you previously attended college/university or music study of any kind?    Yes     No   (If yes, complete the information below)  
Name/city/state of college attended or music study
 
Name/city/state of college attended or music study
 
Name/city/state of college attended or music study

 

Have you ever applied to the Calhoun Conservatory of Music before?    Yes     No   (If yes, for what term/year?)  
Have you visited the CCM Web site (www.calhounconservatoryofmusic.net)?    Yes     No   If so, what was most helpful?  
AREAS OF INTEREST    Indicate top three choices in order of preference..
 School of Church Music           School of Music Education         School of Private Music Education          School of Classical, Broadway and Jazz          Summer Program for Kids         Fall Program for Adults
AREAS OF INTEREST    Check all that apply..
 Academic/professional organizations          Sports         Intramural sports         Social leadership or recreational clubs and organizations          Student government         Student media (newspaper, literary journal, television, radio)         Religion (Christian activities, worship services assistant, soloist, musician)
HOW YOU LEARNED ABOUT CCM    Check all that apply. Circle those that were most useful to you..
 Current CCM student          Sports         Former CCM student         Church          Counselor         Radio/TV/newspaper         School presentation         Internet         Teacher/professor         Coach         Poster         School guide         Information session         Friend/relative         School/career fair         Other _____________________________________
List your achievements, honors, awards, recognitions, grade point average, and class rank if available. Use separate sheet of paper if needed or submit resume`.

Hometown newspaper (for notification of honors/awards)  
With which ethnic or racial group do you identify yourself? (optional question not used in admission decision)
Permanent home address
 
Please indicate religious/denominational affiliation.
Have you ever been convicted of a felony?    Yes     No
FATHER/GUARDIAN INFORMATION
Name
Address
City/State/Zip
E-mail
Home phone                                                         Work phone
Father's employer
Position
MOTHER/GUARDIAN INFORMATION
Name
Address
City/State/Zip
E-mail
Home phone                                                         Work phone
Mother's employer
Position
FINANCIAL INFORMATION
Name of person to whom bills should be sent:
Address
City/State                                                                               ZIP/Postal code
Country                                                                                             Telephone

Signature of person assuming financial responsibilty
Do you need to apply for financial assistance? (For U.S. citizens and permanent residents only)    Yes     No
PAYMENT METHOD
A $50 TOWARD FIRST QUARTER FEES IS REQUIRED FOR PROCESSING. IF not accepted the fee will be returned. The school does not accept fee waivers for the application fee. Upon acceptance, if student fails to begin when enrolled, fee is not refundable.
 My check/money order for the application fee is enclosed, made payable to Calhoun Conservatory of Music.
If admitted, I agree to abide by the rules and regulations of the Calhoun Conservatory of Music.

Signature of applicant

Send application and fee to:       Admissions Office / Calhoun Conservatory of Music / PO Box 9252 / Savannah, GA 31412
For further information contact:       Admissions / 912-247-3424/ admissiona@calhounconservatoryofmusic.net
Please list names and addresses of three persons to whom you are not related as personal and professional references.

1.

2.

3.