Online Registration for New and Returning, Pre-College Students

Student StatusNew Student
Returning Student

Quarter

First Name *

Last Name *

Date of Birth (Month/Day/Year) *

School *

Grade *

First Name (P1) *

Last Name (P1) *

Address (P1) *

City (P1) *

State (P1) *

Zip Code (P1) *

Home Phone (P1) *

Work Phone (P1)

Cell Phone (P1)

Email (P1)

First Name (P2)

Last Name (P2)

Address (P2)

City (P2)

State (P2)

Zip Code (P2)

Home Phone (P2)

Work Phone (P2)

Cell Phone (P2)

Email (P2)

Billing First Name *

Billing Last Name *

Billing Address *

Billing City *

Billing State *

Billing Zip Code *

Optional: The following student information is requested by funding sources. Your help will be greatly appreciated.

Instrument 1

Instrument 2

Eurhythmics

Prelude Choir

Reading/Youth Orchestra

Chamber Music Ensemble

Music Theory

School of Music

804 W. Belden Ave.
Chicago, IL 60614
(773) 325-7260
musicadmissions@depaul.edu

Online Registration for New and Returning, Pre-College Students

Student Information

Parent/Guardian Information

Parent 1

Parent 2

Billing Information

Private Instruction

Classes/Ensembles

School of Music