q Office Copy

VCU Department of Music Jury Sheet

Students: Please type in your information and print out the jury sheet. If using Adobe Acrobat, you will be unable to save
your information on this PDF form. Bring one completed copy of this form for each juror (3-5 depending on your area) to
your jury hearing.
Name:

eServices Student #:

Email:

Phone Number:

Instrument:

Current Course : APPL

Instructor Name:

Jury Date:

List all repertoire completed during the semester. Asterisk (*) all items prepared for jury examinations. Indicate
compositions performed in recitals with an [R].
TECHNIQUE:

REPERTOIRE MEMORIZED:

REPERTOIRE WITH MUSIC:

WORKS IN PROGRESS:

Juror: ______________________________________
Jury Chair: _________________________________

Grade: ________
Final Grade: ________

Initials: _______
Initials: _______