Audition Reference Form

Student Information

Student First Name: *

Student Last Name: *

City: *

State: *

Your Contact Information

First Name: *

Last Name: *

Institution:

Street Address Line 1: *

Street Address Line 2:

City: *

State: *

Zip Code: *

Email Address: *

Phone Number:

Reference Information

I have known the applicant in the following capacity: *

Member of an ensemble

Private student

Other

If other, please specify:

I have known the applicant for:

Please specify the number of years and months.

Ratings:

	Excellent	Good	Fair	Poor
Musicianship
Technical proficiency in performance
Potential for strong musical leadership
Maturity
Record of academic and personal growth

Compared to other students you have known in the past 10 years, please rate the applicant

Supplemental Information:

Supplementing the points above, please give a short summary of your evaluation of the applicant as a prospective student, or performer, including your estimate of those personal, academic, and artistic traits which might affect the student’s probable success in college.

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Heidelberg University
John Owen, Director
School of Music
310 E. Market Street
Tiffin, OH 44883-2462
Telephone: (419)-448-2073
E-mail: jowen@heidelberg.edu

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Audition Reference Form