Dance Information Request

Please complete the form below to receive additional information about the UWM Department of Dance.

First Name:
   
MI:
   
Last Name:

Address:


City:
   
State:
   
Zip:
-

Home Phone:
  

Cell Phone:
  

E-mail:


High School/Colleges Attended:


I plan to start my studies:  


Preferred Method to Receive Information:  


I am interested in the following Dance program(s):
(check all that apply)

Dance BA  
Dance BFA: African Diaspora Track  
Dance BFA: Contemporary Track  
Inter-Arts BFA: Musical Theatre  
EC-A Teacher Certification  
Somatics Minor  
MFA in Performing Arts: Dance  


I first heard about UWM's Dance Program from:
(check all that apply)

Current UWM Dance Student  
Former UWM Dance Student  
Middle/High School Teacher/Advisor  
Dance Studio Instructor  
UWM Dance Outreach Activity  
Dance Class at UWM  
Friend, Family Member or Colleague  
Advertisement/Listing
  Other:


Please add me to the following mailing list(s):
(check all that apply)

Undergraduate Entrance Audition  
Dance Performance & Showing  


I would like someone to answer the following question(s):
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Preferred contact method for reply:  


If phone, preferred day/time to call:
Note: UWM is in the Central Time Zone