Please complete the following information to register with The New School for Jazz and Contemporary Music Office of Admissions. We will use this information to be in contact with you regarding your area of interest, events at the School, and applying in the future.

 Contact Information
* = Required Fields
* Last Name (Family Name):  
* First Name (Given Name):  
Middle Initial:  
* Street Address 1:  
Street Address 2:  
* City:  
State / Province:  
Zip Code / Postal Code:  
* Country:  
Telephone Number:  
* Email Address:  
* Verify Email Address:  
 Program of Interest
* When do you plan to begin your studies?  
* What is your primary instrument?  
What is your secondary instrument (if applicable)?  
I would like to enter Jazz as a:  
Are you interested in the combined degree program with Eugene Lang College The New School for Liberal Arts?  
* I am currently:  
What high school have you or will you graduate from?  
Where is your high school located?
(International students please leave blank)
Please provide the name of your high school Band Director:  
 Personal Information
Date of Birth:    /   / 
Citizenship Status:  
How did you hear about us?  
 Request Information
* Would you like to receive additional information from us?  

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