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Please include area code.

Please make sure this is an e-mail address you check frequently. This will be one of our main ways of communicating with you until your UCA e-mail address is set up. Please do not enter a school district e-mail address.

Please provide a secondary e-mail where we can reach you if the first one does not work.

If you are entering as an undergraduate, please list your high school graduate date.

Please list the GPA for the institution you attended most recently.

Example: Clarinet, Voice, Percussion, etc.

Please tell us the approximate academic semester you plan on beginning our programs. Ex: Fall 2022

This form is strictly for use in our department and does not have anything to do with admission to the university.

Please enter your full name on the line. By doing so, you understand that this serves as your signature for this document.