Contact Information

* First Name:  

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* Last Name:  

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* Permanent Email Address:  

Please enter the email address that you check most often and plan to use well into the future.

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Cal Poly Email Address:  

Please enter the email address provided you by Cal Poly (e.g., user@calpoly.edu). If you have not yet been assigned a Cal Poly email address, you may leave this entry blank.

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* Preferred Email Address:  

Permanent Email Address Cal Poly Email Address

Please choose which email account you would prefer we use when communicating with you now and when you are a member of the band program.

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* Phone Number:  

Please enter your personal phone number using the following format: 555-867-5309.

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* Home Address:  

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* City:  

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* State:  

Please enter the two-letter state abbreviation. (Example: "CA")

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* Zip Code:  

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Background Information

* Primary Instrument:  

Flute Oboe Clarinet Bass Clarinet Bassoon Alto Saxophone Tenor Saxophone Baritone Saxophone Horn Trumpet Trombone Bass Trombone Euphonium Tuba Percussion Double Bass (upright bass) Piano Harp

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Secondary Instrument(s):  

If applicable, please select any instrument(s) with which you have performance experience and upon which you feel your level of ability is approximately the same as on your primary instrument.
Piccolo Eb Clarinet Bass Clarinet Soprano Saxophone Tenor Saxophone Double Bass Harp English Horn Alto Clarinet Contrabass Clarinet Alto Saxophone Baritone Saxophone Piano Other:
NOTE: Please use the "Additional Information" section at the end of this form if you wish to elaborate upon your selection(s).

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* High School:  

Please enter the name of your high school. If your high school is in a different state from your home address, please provide that information as well.

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* Year of High School Graduation:  

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* High School Band Director:  

Please enter the name of your primary high school band director.

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Academic Information

* Academic Status:  

New Student New Transfer Student Returning Cal Poly Student (2nd Year) Returning Cal Poly Student (3rd Year) Returning Cal Poly Student (4th+ Year) New Graduate Student Returning Graduate Student

Please choose your academic status next quarter. If you have not yet been accepted to Cal Poly (or have not yet graduated from high school) please indicate "New Student" and elaborate on your situation in the "Additional Information" section at the bottom of this form.

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* Major:  

AERO: Aerospace Engineering AGD: Agricultural Education ANT: Anthropology ARCE: Architectural Engineering ARCH: Architecture ART: Art and Design ASCI: Animal Science BCHM: Biochemistry BIO: Biology BMED: Biomedical Engineering BRAE: BioResearch & Agricultural Engineering BUS: Business CD: Child Development CE: Civil Engineering CHEM: Chemistry CM: Construction Management COMS: Communication Studies CPE: Computer Engineering CRP: City & Regional Planning CRSC: Crop Science CSC: Computer Science DSCI: Dairy Science ECON: Economics EE: Electrical Engineering EESS: Environmental Earth & Soil Sciences EHS: Environmental Horticultural Science ENGL: English ENVE: Environmental Engineering ENVM: Environmental Management & Protection ERSC: Earth Science ESB: Ecology & Systematic Biology FDSC: Food Science & Nutrition FNR: Forestry & Natural Resources GENE: General Engineering GEOG: Geography GRC: Graphic Communication GRD: Graphic Design HIST: History IE: Industrial Engineering IT: Industrial Technology ITP: Industrial Technology and Packaging JOUR: Journalism KINE: Kinesiology LA: Landscape Architecture LAES: Liberal Arts & Engineering Studies LS: Liberal Studies MATH: Mathematics MCRO: Microbiology ME: Mechanical Engineering MFGE: Manufacturing Engineering MLL: Modern Languages & Literatures MU: Music PHIL: Philosophy PHYS: Physics POLS: Political Science PSY: Psychology REC: Recreation Administration SE: Software Engineering STAT: Statistics TH: Theatre WVIT: Wine and Viticulture Other (Not Listed)

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