01/2013
Please print or type all information and return to:
University Bands
Tennessee State University
3500 John A. Merritt Blvd.
Box 9531
Nashville, TN 37209
Today’s Date: ______________________________
Major Instrument ______________________________ Secondary Instrument _________________________
Name ___________________________________________________________________________________
Last
First
Middle
Home Address ____________________________________________________________________________
Street Address or P.O. Box
_____________________________________________________________________________
City
State
Zip
Phone (_____) _________________________________
Birthdate _____/_____/_____ Sex ________ E-Mail Address _______________________________________
Name of High School _______________________________________________________________________
High School Director’s Name _________________________________________________________________
Intended Major Field of Study ________________________________________________________________
Check all that apply: Marching Band _____
Pep Band _____
Concert Band _____
Jazz Band _____
Are you a transfer student from another college or university? _____ School __________________________
Semester and year you plan to enter TSU: Fall _____
Spring _____
Summer _____
20_____
Admission to the Band Program (marching, concert, jazz, etc.) is contingent upon a successful audition.
To schedule an audition contact our office at (615) 963-5350.