PMB Pre-Season Information Form

Name *
Cell Phone # Cell Phone # * - ### - ### ####
Year at EIU (1, 2, 3, 4, 5) *
Major *
Minor
Instrument *
What is your T-shirt size? *

What is your T-shirt size? Small Medium Large Extra-Large 2XL 3XL 4XL
The following questions will help us with some statistics. Some of these questions may not apply to new members. Are you enrolled in the Honors College?

The following questions will help us with some statistics. Some of these questions may not apply to new members. Are you enrolled in the Honors College? Yes No
Departmental Honors?

Departmental Honors? Yes No
Member of a Greek Organization?

Member of a Greek Organization? Yes No
Gateway Program?

Gateway Program? Yes No
List any clubs or organizations you are a part of. If you have a leadership position in that organization let me know.
List any departmental awards or other outside awards you have received as a student / incoming student at EIU. (i.e. scholarships, academic merit awards, etc.)
High School Attended *
What is the name(s) of your former high school band director(s) when you graduated?
What is the e-mail address of your former high school band director (when you graduated)?
Hometown (city and state) *
What is the name of your hometown newspaper? *
Please list the name of a person or a department we can contact to share stories and news of your PMB success.
What is an e-mail address or weblink that we can use at the newspaper to 'Share Your Story'?
Why did you choose to attend EIU? Please write 2-4 sentences fully describing your rationale. Your statement will appear in the PMB Program Book and possibly in some public relations / marketing material. Thanks!
What is your favorite PMB memory or what are you most looking forward to in the PMB? Please write 2-4 sentences fully describing your rationale. Your statement will appear in the PMB Program Book and possibly in some public relations / marketing material. Thanks!