Georgia Music Center Education Application

Music Education Institutions/ Non-Profit Organizations Application
Name of Music Affiliated Program/Association/Org
Chairperson/President
GA Contact 1
GA Contact 2
Mailing Address
Mailing Address 2
City State Zip County
Phone Phone 2 Fax
Email Address
Main Website
GA Chapter Website (if any)
Membership Fee: $   Fee Schedule

Program/Association/Organization Description
Using up to 150 words, market your program to prospective students/members. If you have student memberships (high school / college) available, please indicate that as well

College and University Programs (PLEASE FILL OUT FROM HERE)
College/University Name Music Program Director(s) Director(s)Phone
Music Degrees Conferred: Associate Bachelor Masters Ph. DMA
Overall degree hours needed (undergraduate):        Within Major:       Within Minor:      
Scholarships Available:
Check if Yes 		Type of Scholarships:   
Scholarship Coordinator Name:

Phone:     
Teaching Certification Available:
Check if Yes 		Internship Required:
Check if Yes
Recording Facility On Campus:
 Check if Yes 		Student/Teacher ratio:    
Music Department Student Enrollment (Breakdown)
     Undergraduate: Graduate: Doctoral:
Application for admission Deadlines (if there are no deadlines, list the first day of each semester)
Spring: Summer: Fall:
I have read the Terms of Participation and Disclosure.  I certify that I'm at least 18 years of age: