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CSUB Jazz Ensemble Interest Form

If you are interested in joining an instrumental ensemble, please fill out this form.

First Name Last Name
Address City Zip
Phone # Permanent Address
Runner Email Email (if different)
Status: Freshman Sophomore Junior Senior Graduate Community
Playing Experience
Parts (Choose all that apply) Piano
Bass
Harp
Percussion		 Brass
Woodwinds
Strings
Other
Instrument Proficiency:
Comments: