Music College Online: Guitar, Piano, Music Production, Music Business, Improvisation, Music Theory, SongWriting

DESIGN YOUR USSCM DIPLOMA PROGRAM

First module:	(required)
Second module choice:	(required)
Third module choice:
Fourth module choice:
Fifth module choice:
Sixth module choice:

First Module Second Module Third Module Fourth Module Fifth Module Sixth Module DiplomaSelected

Diploma Tuition:
(If you leave this page and return, it may be necessary to reset your choices in the pull-down menus above to see your program again. Shipping costs are included for students receiving materials in the continental United States, but International shipping costs are not included with Diploma Tuition.)

Qualified Scholarships (call USSCM to apply)

I have qualified as a Larry Berk Scholar for the Schillinger Module. ($ 370 award)
Larry Berk Scholars show prowess in composition, and apply by submitting a recording of a major work with its accompanying score.

I have qualified as a Atlantic Records Scholar for the Advanced Improv Module. ($ 1875 award)
Atlantic Records Scholars have an active contract with Atlantic Records.

I have qualified as a Voice of America Scholar for the Improv Module. ($ 1875 award)
Voice of America Scholars have been featured in an article by Voice of America.

I have qualified as a Bluebird Cafe Scholar for the Songwriting Module. ($1875 award)
Bluebird Cafe Scholars have songs/compositions/performances in major distribution (fax label and mail CD).

Sub-Total Scholarship Award(s):

Apply qualified Discounts (fax proof at enrollment)

I am on active duty in the military or have an honorable discharge (fax discharge). (less 5% Diploma Program Tuition)

I have a Bachelor's Degree (fax diploma). (less 5% Diploma Program Tuition)

I am a music teacher with 30 or more active students (fax evidence). (less 5% Diploma Program Tuition)

I qualify for a % total academic discount on my Diploma Program Tuition.
This amounts to a savings of $ on my Diploma Program Tuition.

Diploma Tuition Balance after academic discounts and scholarships:$

USSCM Program Enrollment Agreement

Fill in completely and submit online (below), then print, sign and fax to (617) 629-0757. Submission indicates your acceptance of the terms of your enrollment agreeement.

My Diploma Program consists of the following modules:

First Module Second Module Third Module Fourth Module Fifth Module Sixth Module DiplomaSelected

My selected electives are:

(Electives are taken during your Diploma Program between microsemesters 3 & 4 and 7 & 8.)
(Diploma Program Candidates must choose a minimum of two electives)
(Non-diploma students may take any elective without prerequisite courses.)

Diploma Program Tuition:		$
less Scholarships Awarded:		$
less Applied Academic Discounts:		$	%
	I am paying in full for my Diploma Tuition.	(Shipping costs are included for students receiving materials in the continental United States, but International shipping costs are not included with Diploma Tuition.)
	I am paying in thirds for my Diploma Tuition.	1/3 up-front 1/3 after my study materials have been received 1/3 after 2/3 of my study materials have been received
less:		$ additional 10% savings
plus Elective/Certificate Tuition:		$
Total Tuition Balance:		$

Amount enclosed with mailed copy or wired:
$

I understand the terms of this enrollment application, and, to the best of my knowledge, I have physical ability to benefit from this course.

I intend to devote at least the minimum recommended time to my studies.

IF YOU ARE UNDER 18 --
Please have your parent or guardian or responsible person over 21 sign here.

Guarantor's signature is not required if you are in the Service.

Date Signed:

Signature of Guarantor (type name here, sign faxed copy):

(Guarantor's relationship to Student)

Guarantor's Phone:

Guarantor's email:

Last Education Level:

Address of Guarantor:

MR.

MRS.

MS.

Student's Name:

Mailing Address:

City:

State/ZIP/Country:

Telephone No.

Please enter the last educational level completed:

Grammar School/High school: 1 2 3 4 5 6 7 8 9 10 11 12

Bachelor's: 1 2 3 4

Master's: 1 2

Ph.D.: 1 2 3 4

U.S. Social Security #, Passport #:

Date of Birth:
Student's age at time of signature:

Signature of Student (type name here, sign faxed copy): :

(print name):

Retype Email

Sub-Total Elective Tuition:	$
Less Sub-Total Discount for Diploma Students:	$