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2022 UCMB Digital Interest Form
Provide the following information to receive more information about joining the UCMB.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone #
Your answer
Address
*
Your answer
City/Town
*
Your answer
State
*
Choose
Al
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
International
Primary Instrument
*
Flute/Piccolo
Clarinet
Saxophone-Alto
Saxophone-Tenor
Trumpet
Mellophone
Baritone
Trombone
Tuba
Percussion (Tenor, Snare, Bass, Cymbals)
Percussion (Front Ensemble)
Guard
Twirler
Other:
Other Instrument
Your answer
Would you be interesting in learning another instrument?
Yes
No
Maybe
Clear selection
High School
*
Your answer
High School Graduation year
*
If you are already a student at UConn (or another school), please select "other" and enter your class standing (i.e. "UConn sophomore" or "ECSU Freshman")
2022 (Senior)
2023 (Junior)
2024 (Sophomore)
2025 (Freshman)
Other:
Intended Major
*
Not sure yet? That's ok! Just type "undecided."
Your answer
Have You Applied to UConn?
Yes
No
Clear selection
Have You Been Admitted to UConn?
Yes
No
Clear selection
Any questions about the UCMB?
Your answer
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