Western University
Don Wright Faculty of Music
Admissions Officer
Talbot College Room 210
London, Ontario - N6A 3K7
Phone: (519) 661-2044
Questionnaire - BA (Major in Popular Music Studies)
INSTRUCTIONS:
Print this form, fill in by hand and send by mail to the above address
**Complete all sections and return by February 15
Name
Phone
Email
Address
City/Town
Prov/State
Postal Code
Main Instrument/Voice:
Other Instrument(s), if any:
Number of years playing main instrument:
Number of years of instruction/lessons:
If you are not a keyboard player, do you have keyboard skills?
If yes, number of years of instruction/lessons:
YES
NO
Grade level (if applicable):
NOTE: Keyboard skills are not a requirement for admission for those who are not keyboard players
Do you read music?
YES
NO
Do you have a theory background?
YES
NO
If yes:
II (Rudiments)
III (Harmony)
Performing Experience (number of years)
Style Played
Pop/Rock
Blues
Urban
Folk
Country
Jazz
Musical Theatre
Other
Outside of school
At school (if involved in a school
music program)
Experience as:
Outside of school
At school (if involved in a school
music program)
Solo Artist
Band Member
Scholarships, Prizes, Awards (list and describe any you have received)
Current High School Average (or most recent if not Grade 12):
Grade 11 Average:
Average:
Grade:
Average:
Year:
Year:
Courses taken in the last two years of high school and mark received or current mark (list grade 12 first)
Please include: Grade, Course Code, Course Title, Mark, and Year Taken.
Describe Your Experience as a Musician (Be brief; include highlights of gigs, songs written, recording experience, etc..)
Please describe why you wish to enter the Popular Music Studies major module and how you feel this will help you to achieve
your goals.