Music Institute of Chicago
MIC Information Request 2023-2024
Welcome to the Music Institute of Chicago!
Complete this brief form (it takes less than a minute!) and you will receive a call back
within 24 hours from an experienced MIC staff member.
Thank you!
Please Select Your Preferred Campus/Location
*
Chicago St. James - 65 E. Huron Street
Chicago Gratz Center - 126 E. Chestnut Street
Winnetka - 300 Green Bay Road
Evanston - 1490 Chicago Avenue
Lake Forest - 40 E. Old Mill Road
Lake Bluff - 244 E. Center Avenue
Downers Grove - 432 59th Street
Online
Parent or Adult Student's Name
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Title
First
Last
Suffix
Parent/Guardian
or Adult Student
Email
*
Phone Number
*
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Student's Name
*
First
Last
Student's Age
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
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Western Sahara
Yemen
Zambia
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Country
What instrument, class, or ensemble are you interested in ?
*
Please include any additional questions or information here.
How did you hear about us? Select all that apply.
*
Social Media
Flyer
Campus Visibility
Google Search
Nichols Concert Hall
MIC Event
Word of Mouth
Referred by current or former MIC Family
Referred by MIC Faculty/Staff
Referred by Private/School Teacher
Sibling
Alumni
Other
If other, how did you hear about us?
If referred, who referred you to us?
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Last
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Date Placement Meeting Occurred
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Date of Enrollment
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