Non-Matriculated Form

High School Dual Enrollment Application

Summer High School Scholars Application

Graduate Music Ensemble Program Application

POTS! Program Application

Teach Rock Course Application

A Course in Culturally Responsive Music Education

Program(Required)

Please choose a program:

First Name(Required)

Middle Name

Last Name(Required)

Gender

Date of Birth(Required)

Are you a U.S. Citizen?(Required)

Social Security Number(Required)

Home Phone Number

US Mobile Phone Number(Required)

Email Address(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Emergency Contact First Name(Required)

Emergency Contact Last Name(Required)

Emergency Contact Relationship(Required)

Emergency Contact Email Address(Required)

Emergency Contact Mobile Number(Required)

Note: By providing my cellphone number and email address, I give consent for Five Towns College to text/email me. My parents also consent to receive texts/emails from Five Towns College.

High School Currently Attending(Required)

High School Graduate Year(Required)

Will you be residing on campus?(Required)

YES

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Select Courses:(Required)

AUD101 - Audio Recording Theory, 3 Credits

AUD303 - MIDI Applications, 3 Credits

(Bayside High School)

Select Courses:(Required)

ENS390 - Wind Ensemble, 1 Credit

ENS378 - Symphony Orchestra, 1 Credit

ENS326 - Choir, 1 Credit

(Commack High School)

Select Courses:(Required)

ENS390 - Wind Ensemble, 1 Credit

ENS378 - Symphony Orchestra, 1 Credit

ENS326 - Choir, 1 Credit

ENS318 - Chamber Orchestra, 1 Credit

ENS338 - Acoustic Guitar Orchestra, 1 Credit

ENS336 - Jazz Guitar Studio Orchestra, 1 Credit

THR107 - Musical Theatre 1, 3 Credits

BUS275 - Social Media Concepts, 3 Credits

(William Floyd High School)

Select Courses:(Required)

ENS330 - Concert Band, 1 Credit

ENS318 - Chamber Orchestra, 1 Credit

ENS326 - Choir, 1 Credit

ENS390 - Wind Ensemble, 1 Credit

MAC280 - Digital Media Art: Design, 3 Credits

(Westbury High School)

Select Courses:(Required)

MAC121 - Fundamental Communication Lab I, 3 Credits

VID131 - Introduction Production: Television Workshop, 3 Credits

(W.C. Mepham High School)

Select Courses:(Required)

ENS390 - Wind Ensemble, 1 Credit

ENS378 - Symphony Orchestra, 1 Credit

(Southold High School)

Select Courses:(Required)

(Sachem High School)

Select Courses:(Required)

ENS390 - Wind Ensemble, 1 Credit

ENS378 - Symphony Orchestra, 1 Credit

ENS322 - Chamber Singers, 1 Credit

ENS346 - Jazz Orchestra, 1 Credit

(Southside High School)

Select Courses:(Required)

MAC280 - Digital Media Art: Design, 3 Credits

VID131 - TV Workshop, 3 Credits

MAC121 - Fundamental Communication Lab I, 3 Credits

ENS390 - Wind Ensemble, 1 Credit

ENS330 - Concert Band, 1 Credit

ENS322 - Chamber Singers, 1 Credit

ENS342 - Jazz Ensemble, 1 Credit

(Oyster Bay - East Norwich High School)

Select Courses:(Required)

ENS390 - Wind Ensemble, 1 Credit

ENS378 - Symphony Orchestra, 1 Credit

ENS322 - Chamber Singers, 1 Credit

AUD303 - MIDI Applications, 3 Credits

VID145 - Digital Photography, 3 Credits

(Northport High School)

Select Courses:(Required)

ENS330 - Concert Band, 1 Credit

ENS318 - Chamber Orchestra, 1 Credit

ENS326 - Choir, 1 Credit

ENS378 - Symphony Orchestra, 1 Credit

MUS111 - Harmony I, 3 Credits

(North Babylon High School)

Select Courses:(Required)

ENS346 - Jazz Orchestra, 1 Credit

ENS330 - Concert Band, 1 Credit

ENS326 - Choir, 1 Credit

COM101 - Computers in Business, 3 Credits

AUD303 - MIDI Applications, 3 Credits

(Uniondale High School)

Select Courses:(Required)

ENS390 - Wind Ensemble, 1 Credit

ENS378 - Symphony Orchestra, 1 Credit

ENS326 - Choir, 1 Credit

MUS111 - Harmony I, 3 Credits

BUS101 - Principals of Accounting, 3 Credits

(Mount Sinai High School)

Select Courses:(Required)

MUS111 - Harmony I, 3 Credits

(Haborfield High School)

Select Courses:(Required)

AUD101 - Digital Music Production, 3 Credits

AUD303 - MIDI Applications, 3 Credits

(Half Hollow Hills High School)

Select Courses:(Required)

THR121 - Acting I, 3 Credits

THH301 - Theatre History & Dramaturgy, 3 Credits

THR111 - Introduction to Stagecraft, 3 Credits

THR246 - Improvisation, 3 Credits

MUS111 - Harmony I, 3 Credits

ENS186 - Keyboard Skills 2, 1 Credit

ENS390 - Wind Ensemble, 1 Credit

ENS318 - Chamber Orchestra I, 1 Credit

(Great Neck South High School)

Select Courses:(Required)

BUS241 - Principles of Marketing, 3 Credits

MUB101 - Music Business Careers, 3 Credits

(Brentwood High School)

Select Courses:(Required)

THH191 - Introduction to Theatre, 3 Credits

(Deer Park High School)

Select Courses:(Required)

(Glen Cove High School)

Select Courses:(Required)

VID145 - Digital Photography, 3 Credits

ENS322 - Chamber Singers, 1 Credit

ENS390 - Wind Ensemble, 1 Credit

ENS378 - Symphony Orchestra, 1 Credit

DAN131 - Ballet Techniques I, 3 Credits

IMA345 - Comic Art, 3 Credits

(Walt Whitman High School)

Select Courses:(Required)

VID131 - Introductory Production: TV Workshop, 3 Credits

MAC280 - Digital Media Art: Design, 3 Credits

THR124 - Acting 2, 3 Credits

THR107 - Musical Theatre, 3 Credits

(Hauppauge High School)

Please select the program you are interested in registering for:

July 8 - August 8, 2024, Morning - 9:30 a.m. - 11:25 a.m.

Please select the program you are interested in registering for:

July 8 - August 8, 2024, Afternoon - 12:30 p.m. - 2:25 p.m.

I am Participating in:(Required)

ENS346 - Jazz Orchestra

ENS378 - Symphony Orchestra

ENS390 - Wind Ensemble

I am Participating in:(Required)

MUE240 - Percussion Ensemble (1 credit)

Signature(Required)