University of Dubuque

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Fine and Performing Arts Interest Form

University of Dubuque Band Interest Form

Personal Info
Name:
Address:
City:
State:
Zip:
Country (if not USA):
Email:
Parent's Name(s):
Phone:
Cell Phone:
Best time to contact:
When do you plan to attend UD?:
High School/College Info
High School:
High School Phone number:
Band Director's Name:
Graduation Year:
Transfer student: Yes No
If yes, list college(s):
Anticipated Major:
Other Major:
Music Information
Please provide a general background of your band experience.
This may include experience in school,
church, private/group lessons, music camps, honor band etc.
Please list any music honors and/or awards you have received.
What types/styles of music do you enjoy playing?
Which instruments do you play?
Piccolo/Flute Clarinet Bass Clarinet
Oboe Bassoon Alto Sax
Tenor Sax Bari Sax Horn
Trumpet Trombone Euphonium
Tuba String Bass Percussion
Electric Bass Guitar
Other
Are you interested in:
Symphonic Band/Wind Ensemble
Pep Band
Jazz Band
Other Information
Have you visited University of Dubuque? Yes No
Please list other colleges you are considering.
Additional Comments