Application form for Computer Music Option

Personal Information

First Name:		Last Name:
Address 1:		Address 2:
City:		Province/State:
Country:		Postal/Zip Code:
Phone:		E-mail:

Admission Status at UVic

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.

Please fill in the Faculty and Year to which you are admitted/registered or have applied for:

Faculty:	Engineering (Electrical or Computer) Engineering (Computer Science) Fine Arts (History in Art) Humanities Science Social Sciences	Year:	1st 2nd 3rd 4th
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 e-mail will be sent to Peter Driessen and the Advising Assistant with your application. You will be cc'd at your e-mail address. This information is not stored by this system in any way.

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