ALCORN STATE UNIVERSITY BAND APPLICATION
1000 ASU Drive #270
Alcorn State, MS 39096-7500
Phone: (601) 877-6263 Fax: (601) 877-6262
Email: griffin@lorman.alcorn.edu
(please print and return)
Personal Information
Name_________________________________________________________________
Address_______________________________ Phone# __________________________
City/State/Zip___________________________________________________________
Social Security No.____________________
Instrument_________________________
Age __________ Grade
_________ GPA
_________
ACT Score _______
Gender: Male__________ Female__________ Proposed major _______________________
Parent/Guardian Name__________________________________________________________
Address (if different) ________________________________________________________
Father's Occupation ________________________ Mother's Occupation ________________
High School ___________________________ Band
Director's Name __________________
School Address _____________________________________________________________
Band Phone # __________________________
Musical Background
Years of private study ______ Teacher's Name
_____________________________
Other instruments you play ______________________________________________
Music honors or awards ________________________________________________
Number of years of band experience _____________ Marching _________ Concert
Chair position ______________ Part (1st - 2nd - 3rd
- 4th) ____________________
What instruments do you own? ___________________________________________
Number of years of singing experience ____________________