All-District Jazz Ensemble Application Form

2018 Indiana All-District Jazz Ensemble Nomination Form
November 10-11, 2018

School Information - Please be sure to have this information from your director
School Name:
Director Name:
Director Email Address: Director Phone:
Director IJEA Member ID # IJEA   

Enter the number only! (Current membership in IJEA required to apply. If you do not know your number, look in your email sent when joining/renewing your membership or you can look up your number by clicking here.)
Site Information - Please choose the site that you prefer to attend (IJEA does have the right to balance sites)
Preferred Event Site
Your Personal Information
Student Name:
Instrument: T-Shirt Size
Your Home Address:
City: Zip:
Home Phone: Cell Phone:
Your Email Address: Grade Level:
Number of Years Performing in a Jazz Band: Current Part Played:
Are you currently taking private lessons?  Name of Teacher:
Has student been in All-State Jazz Band in the past?   What Year(s)?
I understand that not all students that apply for participation in this event will be chosen to participate. If accepted, I also understand that there will be a $50.00 fee collected at the performance site. This fee does include a commemorative t-shirt and lunch on Saturday.