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Fields marked with a * are required.
Applicant Information
First Name:	* First Name Required
Middle Name:
Last Name:	* Last Name Required
Preferred Name:
Address:	* Address Required
City:	City Required
State:	Please Select Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Europe Armed Forces Pacific Armed Forces the Americas British Columbia California Canada Canal Zone Colorado Connecticut Delaware District of Columbia Fed States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Northern Mariana Islands Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas U.S. Minor Outlying Isl. Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon State Required
Zip Code:	Zip Required
Home Phone:	* Home Phone Required
Mobile Phone:	* Mobile Phone Required
Email:	* Email Required Please enter a valid email.
Date of Birth	**
Are you a Current Applicant to PBA?	YesNo* Current Applicant Required
Have you already been Accepted to PBA?	YesNo* Have you been accepted to PBA?
Desired Term of Entrance:	Please Select 2024 Spring 2024 Fall 2025 Spring 2025 Fall 2026 Spring 2026 Fall * Desired Term Required
Are you an Incoming Freshman or Transfer?	FreshmanTransfer
School Last Attended:
	G.P.A.  SAT:  ACT:
Dance Training?	YesNo
Length and Type of study:
Program of Study:	Please Select Major in Dance Pedagogy Major in Dance Performance/Choreography Minor in Dance * Program of Study Required
Dance Experience
Date Requested For Audition:	Please Select 03/02/2019 03/16/2019 03/30/2019 Unable to Attend Dates Provided * Audition Date Required
On Stage:
Back Stage:
Piece for Audition: Did you send in a videotape? YesNo
Awards and Achievements:
Goals for College and Beyond: * Goals Required