SIUE Bands - Department of Music - Box 1771 SIUE - Edwardsville, Illinois 62026

618-650-2015

Southern Illinois University at Edwardsville

2019 Bi-State Bands

Nomination Form

 

You may copy this form and nominate as many students as you wish. 

 

PLEASE PRINT LEGABLY.

 

School:                                                        Director:

 

School Address: 

                            Street                                         city             state           zip

 

E-Mail: 

 

School Telephone:                                      BD Telephone: 

                               (AC)                                                         (AC)

 

Please nominate the most deserving students in your band regardless of instrument or year in school and list them in the order that you would like for them to be considered.   

 

 

Name:                                                                             Instrument:

 

Home Address:

 

Home Telephone:                                Shirt Size:                              Class:

                       

List Honors:

 

 

 

 

 

 

 

Name:                                                                             Instrument:

 

Home Address:

 

Home Telephone:                                Shirt Size:                              Class:

                       

List Honors:

 

 

 

 

 

 

 

Name:                                                                             Instrument:

 

Home Address:

 

Home Telephone:                                Shirt Size:                              Class:

                       

List Honors:

 

 

 

 

 

 

 

Name:                                                                             Instrument:

 

Home Address:

 

Home Telephone:                                Shirt Size:                              Class:

                       

List Honors:

 

 

 

 

 

 

 

 

 

Name:                                                                             Instrument:

 

Home Address:

 

Home Telephone:                                Shirt Size:                              Class:

                       

List Honors:

 

 

 

 

 

‚Äč

 

Please return this form no later than November 15, 2018 to Dr. John R. Bell,

Director of Bands, Department of Music, Box 1771 SIUE, Edwardsville, IL  62026-1771.  Telephone: (618) 650-2015.  E-mail: jbell@siue.edu.  

You may submit this form electronically as an attachment.