Music In Childhood Education
Student Data Form
Fall, 2004
M. Swanson
520:102g
NAME ______________________________________________________________________________________________
STUDENT NUMBER _________________ HOMETOWN ___________________________________________________
MAJOR ____________________________________________ MINOR _________________________________________
CAMPUS ADDRESS ___________________________________________________________________________________
PHONE _____________________ E-MAIL _______________________________________________________________
Do you play a musical instrument? If so, list the instrument(s)
Do you read music notation?
Levels in Education Sequence / Placement(s):
Hobbies / Interests:
What you hope to gain from this class: