WVU Alumni Band Membership Form

If you're a WVU Band alumni who would like to join the WVU Alumni Band or your personal information has changed since you last participated with the Alumni Band, please take a few minutes to complete and submit the Membership Form to provide the Alumni Band with your most current information. Those not listed in the alumni registry will be verified.

Personal Information

Title	First Name	Middle Name	Last Name		Suffix

Please indicate your preferred salutation in the title field and provide at least a middle initial and appropriate suffix (i.e. Jr., III, DDS, etc.) to help distinguish between similarly named members.

Nickname		Maiden Name

Both the nickname and maiden name fields are optional. Again, this information helps connect you with members who may know and remember you differently.

Mailing Address		Apartment/Suite


The second mailing address and apartment/suite fields are both optional.

City		State		ZIP Code

				Please provide your ZIP code in five-digit format (e.g. 26506)

Country		W.Va. Home County

If you're currently residing outside the United States, please indicate the country.		If you're a West Virginia native or reside in-state now, please indicate your home county.

Telephone Number		E-mail Address
Example: (304) 555-1234		Example: ischmedlap@wvuband.org
Please provide your current telephone number, including area code.		Please provide your current e-mail address.

Birthday		Years
Example: MM/DD/YYYY		Example: 1989, 1990, 1991, 1992
Please provide your birthday to help the Alumni Band select age-based awards.		Please indicate which years you participated with the WVU Bands in the indicated format.

Ensembles		Instruments/Spots

Please indicate which ensembles you participated in while at WVU (e.g. Marching Band, Pep Band, Concert Band, etc.)		Please indicate what instruments you played or spots you marched while participating with WVU Bands (i.e. Trumpet 3, Trumpet 2, Twirler, etc.)

Music Honoraries		WVU College
Kappa Kappa Psi Phi Mu Alpha Sinfonia
Sigma Alpha Iota Tau Beta Sigma		Please indicate from which WVU college you graduated or were affiliated while a member of the WVU Bands.
Trombone & Euphonium Club		WVU Degrees
Please indicate if you were a member of any of the following music honoraries while a member of the WVU Bands.		Please indicate your WVU degrees (e.g. BS, MA, MBA, PhD, etc.)

Profession		Company

The WVU Alumni Band seeks to network graduates and students, please indicate your current or former profession.		The WVU Alumni Band seeks to network graduates and students, please indicate the company with which you are currently employed.

Interests
Roles		Ensembles
Musician Committee Member Officer or Board Member Friendraiser or Fundraiser Volunteer Mentor Please indicate what Alumni Band roles you'd like to be considered for as an active member.		Alumni Marching Band Alumni Pep Band Alumni Concert Band Please indicate which WVU Alumni Band ensembles, you're interested in participating or receiving additional information about related events.

Notes
Class Notes		Suggestions

What's new with you? Have you recently moved or married, changed jobs or careers or something more significant? Let the Alumni Band and fellow members know what you've been doing with a class notes update.		What suggestions do you have for how the WVU Alumni Band might better serve you and the institution?

Privacy Information
Publish to Directory		Release Phone	Release Address
May we publish your information in the WVU Alumni Band Directory?		May we release your telephone number to limited approved audiences, like the WVU Band Office?	May we release your address (without phone number) to limited approved audiences, like the WVU Band Office, selected honoraries, WVU Alumni Association and WVU Foundation?
Yes No		Yes No	Yes No

Please note: One form should be submitted per member. WVU Alumni Band couples and families should submit separate forms for each person.

By submitting this form you agree that all information is accurate and truthful. Those not listed in the alumni registry will be verified.

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WVU Alumni Band Membership Form

Personal Information

Interests

Notes

Privacy Information