Fri01302015

Music Industry Workshop

Pre-Registration Form

Complete the PRE-REGISTATION FORM
One of our counselors will contact you by phone within 24 hours
(*) Indicates required field

We promise not to share or sell your personal information to any third party.

First Name *

Please type your first name
MI

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Last Name *

Please enter your last name
AKA / Stage Name / DJ Name

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Band Name

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E-mail *

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Re-Enter Email *

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Mobile Phone *
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Home Phone
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Home Zip Code *

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Are you a U.S. Citizen? *
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Sex *
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Date of Birth *
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Relationship Status
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Are you employed?*
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If yes,
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Company

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Highest level of education completed
High School Name

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College Name

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Are you a former MIW student?
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Have you visited MIW before?

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Where Did You First Hear About MIW? *

Please select one of the items on this list.
Referral Name
 
Do you record or produce music?  
Have you ever been in a recording studio?  

Do You Perform? (Check all that apply)

Do you DJ?

What Is Your Favorite Type of Music (Check all that apply)

Will you receive any tuition assistance?
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If Yes, from whom? (Check all that apply)








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What skills are you interested in?








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Additional Notes

Tuition Discounts and Scholarships

MIW is always working to find ways to help students. That’s why from time to time we offer tuition discounts and scholarship awards. These discounts are not always available so we encourage you to take advantage of them when they are around. All discounts, scholarship, and special offers are made available on a FIRST-COME-FIRST-SERVED basis. Eligibility is limited, some restrictions apply, see your MIW counselor for details.

Submit this form and one of our counselors will contact you within 24 hours

By clicking the “Submit” button, you agree that you have read, understand, and accept our Terms and Policies

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