Informational Request Form | California College of Music

informational request &
acknowledgement form.

General Information

First name

Middle Name

Last name

Home Phone

Mobile Phone

Emergency Contact

Emergency Contact Full Name

Emergency Contact Phone Number

Emergency Contact Email

Health Insurance

Student Acknowledgements

General Catalog
Student Handbook
Info on Hearing & Vocal Health
Safety & Security Annual Report
FSA Handbook (Financial Aid Recipients Only)

Document Receipts

By clicking below, you acknowledge that you have received & read the following documents listed.

Do you intend to apply for any financial assistance?

I have received and understand the content contained within the following documents: Student Handbook

I agree to allow California College of Music to use my likeness, including but not restricted to photos on the website, official social media accounts, advertisements, film, video, newsprint, and brochures.

Yes

Yes I consent

No I do not consent

Student Signature

Your Signature

Toda's Date

Thanks for submitting!