Online INTEREST FORM

Please indicate your interest in participating in the CCU Band Program by furnishing all information requested below. Click SUBMIT when finished. You will receive further information via email or postal mail.

GENERAL INFORMATION

First , Middle , Last Name
Email Address
Major/Intended Major
Gender	Male Female
Student Number
Year you will enroll	Select Year 2009 2010 2011 2012
Primary Instrument	Select InstrumentPiccolo Clarinet Bass Clarinet Oboe Bassoon Alto Saxophone Tenor Saxophone Bari Saxophone Horn Trumpet Trombone Euphonium Tuba Battery Percussion Front Ensemble Percussion Color Guard Dance Team Twirlers
Please select your primary instrument or area of interest such as dance team, color guard or twirler	Area of InterestDance TeamColor GuardTwirler
Have you been accepted to CCU	Yes No

HOME ADDRESS

Address
City , State Zip code	Select State ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING
Home Phone Number	(xxx-xxx-xxxx)
Cell Phone	(xxx-xxx-xxxx)

CAMPUS ADDRESS

If you do not yet have a school address, check this box and skip to next section:
Campus Address
City , Zip code
Phone Number	(xxx-xxx-xxxx)
Email Address

HOUSING

The CCU Marching Band will facilitate early move-in with Residence Life.(note: meals are not provided)
If you will be living in university housing please check here:	YesNo

SHIRT AND SHORT SIZE INFORMATION

Shirt Size	S M L XL XXL XXXL XXXXL
Short Size	S M L XL XXL XXXL XXXXL

SUPPORT PERSONNEL

I will not be a performing member of the band this season, but would like to be considered for the position of:

Equipment Crew Photographer Videographer

SUBMIT

Please enter the Anti-Spam verification code exactly how you see it below: