Practice Room User Registration Application Fall 2017
Last name
Your answer
First name
Your answer
Middle name
Your answer
Student or Employee ID #
If you are both a student and an employee, put the ID # which is associated with your primary identity and on the front of your Cal One Card.
Your answer
First 5-8 digits of the number on the back of your Cal One Card
The number printed in small font at the bottom-right corner on the back of your Cal One Card. For example: 345789-11982372328. The "345789" is needed.
Your answer
Primary phone number
Your answer
Secondary phone number
If none, put N/A.
Your answer
Primary email address
Your answer
Secondary email address
If none, put N/A.
Your answer
Home address
Your answer
Work address
If none, put N/A.
Your answer
Affiliation to UC Berkeley
Affiliation to Department of Music
I believe my user status is
Check your user group here: http://music.berkeley.edu/about-us/resources-and-facilities/practice-rooms/. Final user status is subject to verification.
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