Jury Form

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Student s Name: _________________________________________

Instructor: __________________________ Course Number: __

Semester of Study for College Credit (Circle One):

1 2 3 4 5 6 7 8 8+

List Music studies this Semester

1. ______________________________________ Jury Choice

2. ______________________________________ _____________

3. ______________________________________ _____________

4. ______________________________________ _____________

5. ______________________________________ _____________

6. ______________________________________ _____________