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Applicant Information
   
First Name: *
Middle Name:
Last Name: *  
Preferred Name:
Address:  *
City:
State:
Zip Code:
Home Phone:

*
Mobile Phone: *
Email: * *
Date of Birth *
   
Are you a Current Applicant to PBA? *
Have you already been Accepted to PBA? *
Desired Term of Entrance: *
   
Are you an Incoming Freshman or Transfer? 
School Last Attended:
G.P.A.  SAT:  ACT:
   
 
Dance Training?
Length and Type of study:
Program of Study: *
 
 
Dance Experience
 
Date Requested For Audition: *
    
On Stage:
  
Back Stage:
 
Piece for Audition:

Did you send in a videotape?
 
Awards and Achievements:
 
Goals for College and Beyond:
*
 

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