Computer music option application form

Please complete each of the sections below.

Personal information

First name Last name Address City or town Province or state Country Postal or zip code Phone Email

Current status:
Admitted or registered as UVic student
Applied for admission or re-registration (you may apply here)

Note that you must apply and be admitted as a UVic student before you can be admitted to these programs.

Faculty to which you are admitted/registered or have applied for Year to which you are admitted/registered or have applied for Student number:

Musical background

List years of instruction for each instrument/voice

	Instrument	Private study	Class study
1.
2.
3.
4.

State your knowledge

music theory: rudiments, notation, harmony, counterpoint, composition, etc. (Note: 1000 characters maximum) music technology, recording/production, etc. (Note: 1000 characters maximum): computer science and mathematics, and experience in computer programming (Note: 1000 characters maximum):

Education history and credentials in music

List previous university/college/conservatory training: (If none, leave blank)

	Name of institution	Dates of study	Credential achieved
1.
2.
3.

Education history and credentials in math and computer science

List previous high school/university/college training including specific math/computer science courses taken with mark obtained. Also list any previous degrees or other credentials achieved: (If none, leave blank)

	Name of institution	Dates of study	Course taken with mark, or credential achieved
1.
2.
3.

Further information or comments can be entered below

(Note: 1000 characters maximum)

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Upon submitting this form, an email will be sent to Peter Driessen and the Academic Advisor with your application. You will be cc'd at your email address. This information is not stored by this system in any way.