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Music Dept. Prospective Member Form
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First Name
Your answer
Last Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Birthdate
MM
/
DD
/
YYYY
Gender
Choose
Male
Female
Have you already been accepted to Colby Community College?
Choose
NO
YES
Current High School
Your answer
HS Band Director
(first and last name)
Your answer
HS Choral Director
(first and last name)
Your answer
Intended Major
Your answer
Primary Instrument
Your answer
Secondary Instrument
Your answer
Vocal Part
Your answer
Semester Entering Colby Community College
Choose
Freshman
Sophomore
Ensembles I am interested in:
(Check all that apply.)
Concert Band
Pep Band
Jazz Band
Applied Instrumental Study
Sunflower Singers
Concert Choir
Musical
Applied Vocal Study
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