In order to submit an application you will have to save this form and copy it to a word processor program. Then type in the information, save as text and email via USPS to the address below, or mail to the address below. You can also print out this form, type in the information, and fax it to:
Robert Kehle
Department of Music
Pittsburg State University
Pittsburg, KS 66762
Phone: (620) 235-4474
Fax: (620) 235-4468
rkehle@pittstate.edu
School ad dress_____________________________________________________________________
City ______________________________________State_______________Zip______________
Director's name ____________________________________________________________________
E-Mail address_____________________________________________________________________
School phone_______--_________--_____________
School fax _______--_________--_____________
____ We are a member of our state association.
Category:
Big Band _____________ Combo ________________
Type of school:
Jr. High _____________
High School __________
Comm. College _______
Number of students in your group _______
Number of Participant Tickets @ $5.00 each needed for Evening Concert__________
Our group will participate for:
__ ___Ratings and comments
__ ___Comments only
__ ___Verbal comments on stage( if time permits)
High School Size (for high schools only) (Include only grades 10-12)
______ = KS 1A (01-86)
______ = KS 2A (87-129)
______ = KS 3A (130-199)
______ = KS 4A (200-525)
______ = KS 5A (524-999)
______ = KS 6A (1000 and up)
______ *fee is included. The PSU Jazz Festival entry fee for each big band and combo is $100.00 + $5.00 per ticket for the evening concert. (make checks payable to "PSU Jazz Festival ")
____________ P.O. number
____________ Fee will be sent to you by March 7, 2008.
____________ I will be at the free director's luncheon sponsored by Fleming Music of Chanute, KS. Open to all directors and student teachers.
Send application to:
Robert Kehle
Department of Music
Pittsburg State University
Pittsburg, KS 66762
Phone: (620) 235-4474
Fax: (620)235-4468
rkehle@pittstate.edu
Program order:
Title.............................................................................................Composer................................Soloists by Number
1.________________________________________________________________________________________________________
2.________________________________________________________________________________________________________
3.________________________________________________________________________________________________________
Name..............................................Year in School........... Name......................Year in School
1.________________________________________ 11.________________________________________
2.________________________________________ 12.________________________________________
3.________________________________________ 13.________________________________________
4.________________________________________ 14.________________________________________
5.________________________________________ 15._________________________________________
6.________________________________________ 16.________________________________________
7.________________________________________ 17.________________________________________
8.________________________________________ 18.________________________________________
9.________________________________________ 27.________________________________________
10._______________________________________ 28.________________________________________
19._______________________________________ 29.________________________________________
20________________________________________ 30.________________________________________
21.________________________________________ 31.________________________________________
22.________________________________________ 32.________________________________________
23.________________________________________ 33.________________________________________
24.________________________________________ 34.________________________________________
25.________________________________________ 35.________________________________________
26.________________________________________ 36.________________________________________
Send application to:
Robert Kehle
Department of Music
Pittsburg State University
Pittsburg, KS 66762
Phone: (620) 235-4474
Fax: (620)235-4468
rkehle@pittstate.edu
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