Plymouth State University
Department of Music, Theatre, and Dance

Student Recital Form
Student Email Address:  
Student Telephone:
Date of Recital:  
Time of Selection:
Check here to be wait listed for an earlier recital:
Do you have a class that runs until 3:45 on Wednesdays? No Yes
 Total time of selection should not exceed 8 minutes.  Please be accurate!   Requests for exceptions should be presented, by the performance study teacher, to the faculty at least two weeks prior to the desired date.
You may submit extra program information below.

Complete Title, Opus Number, Key, etc.

Composer's complete name

Movement title/tempo (if applicable)

(A number is not sufficient, i.e., 1 or 1st)

Arranger/Transcriber (if applicable)

Some of your titles and other information might not be easy to type on an American keyboard. If necessary, please submit a note to Janice Johnson, in her mailbox, with any extra program information.
  Performer(s) name(s) as to appear on program

Performers' instrument(s)

If voice is the performance instrument, please indicate voice classification, i.e., soprano, tenor, etc.
Is accompaniment required? 
Does this selection include any explicit language or content?
Why is this being asked?
No Yes
List below any chairs, music stands, harpsichord, piano, etc. that you may need for your performance.
List any additional program information here.
In order to be included on the student recital program, Recital forms must be completed in all aspects and submitted by the Friday (4:00 pm) prior to the recital date. Incomplete forms, or those submitted past the deadline, will not be considered.   No exceptions!

There will be no changes, additions, or substitutions to submitted recital forms after the Friday 4:00 deadline.
Recitals do not exceed forty minutes of music.  Recital forms will be considered in the order in which they are received, until the maximum time is filled.  Any requests that are not included on one program will automatically be included on the next recital, unless performers withdraw their recital form.
No more than one form per student recital will be accepted unless time permits.  Once a student has already performed during a semester, additional performances will be allowed only if time permits.
Check here if you are updating or changing a recital form that you have already submitted.
This recital has been approved by
(A copy of this recital form will be sent to this instructor.)