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request for information

Are you interested in becoming a music major at UNC Pembroke? If so, please complete the following form and click the Submit button at the end. Thank you!

Last Name

First Name

Home Phone (include area code)

Cell Phone (include area code)

Email Address

High School Attended

Year of High School Graduation

Home Address

Street

City

State

Zip Code

Areas of Interest

Performance Area

(May select multiple areas)

Pembroke Singers

Jazz Choir

Jazz Ensemble

Orchestra

Percussion Ensemble

Marching Band

Pep Band

Chamber Ensemble

Degree

Updated: Monday, March 23, 2009

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