Southern University Human Jukebox

BAND MEMBERSHIP APPLICATION FORM

Composite ACT or SAT Score

Full Name

Date of Birth (mm/dd/yyyy)

Valid Email Address

Male Female

SS#

Address

City

Zip code

State

Country

Parent/Guardian's Name

Are you a Transfer Student?
Yes No

High School Attended

Primary Instrument

Years Played

Highest Chair Held

If so, what college/university are you transferring from?

Band Director's Name

Secondary Instrument (if any)

Years in Band

Do you own an instrument?
Yes No

When do you plan to enter Southern University? (Month / Year)

Make and Model

You plan to live
On Campus Off Campus

Probable Major in College?

Notes:

- Band membership is open to all university students regardless of their major, sex, religion, or national origin.
- Upon receipt of this application, your name will be placed on our mailing list so that you may receive additional information regarding audition and pre-band camp.

I Accept

I, the applicant for this form warrant the truthfulness of the information provided in this application.
I understand that checking this box ( I Accept) constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

THE SOUTHERN UNIVERSITY
MARCHING BAND

PRECISION IN MOTION

WORLD RENOWNED, INTERNATIONALLY FAMED

JOIN

PRECISION IN MOTION

WORLD RENOWNED, INTERNATIONALLY FAMED

BAND MEMBERSHIP APPLICATION FORM

THE SOUTHERN UNIVERSITY MARCHING BAND

PRECISION IN MOTION

WORLD RENOWNED, INTERNATIONALLY FAMED

JOIN

PRECISION IN MOTION

WORLD RENOWNED, INTERNATIONALLY FAMED

BAND MEMBERSHIP APPLICATION FORM

Get Social

THE SOUTHERN UNIVERSITY MARCHING BAND

THE SOUTHERN UNIVERSITY
MARCHING BAND

THE SOUTHERN UNIVERSITY
MARCHING BAND