ISSMA, Inc.

JUDGE’S INFORMATION SHEET

All judges for ISSMA, Inc. events are maintained in our computer database. In order to keep our data current, we are requesting that you please
complete this form and return to the address listed below. A detailed calendar of events may be found at www.issma.net
(Please include a brief summary of education/experience along with this information sheet. Thank You!)

Please type if possible

NAME ISSMA ZONE

(Last) (First) (M.I.)

SCHOOL NAME

SCHOOL ADDRESS COUNTY

CITY STATE ZIP

HOME ADDRESS

CITY STATE ZIP

SOCIAL SECURITY # - - (Necessary for Payment)

BUSINESS PH / HOME PH / CELL PH /

AREA AREA AREA

PLEASE CHECK ALL THAT APPLY:

A. ELEM _____ B. JR. HIGH _____ C. MIDDLE _____ D. HIGH SCHOOL _____

E. COLLEGE/UNIVERSITY PROFESSOR _____ F. PROFESSIONAL PERFORMER/TEACHER _____

YEAR TEACHING CAREER BEGAN: __________ E-MAIL ADDRESS: ________________________________

PLEASE MARK IN PREFERENTIAL ORDER THE CATEGORIES YOU FEEL CAPABLE OF JUDGING

I. Solo and Ensemble (Do NOT mark more than six, but in order of preference – 1,2,3,4 ….)

A. Flute _____ H. Trombone _____ O. Violoncello _____

B. Oboe _____ I. Baritone _____ P. String Bass _____
C. Bassoon _____ J. Tuba _____ Q. Piano _____
D. Clarinet _____ K. Percussion - membraned _____ R. Soprano Voice _____
E. Saxophone _____ L. Percussion - mallets _____ S. Alto Voice _____
F. Cornet/Trumpet _____ M. Violin _____ T. Tenor Voice _____
G. French Horn _____ N. Viola _____ U. Bass Voice _____

II. Organizational Festivals: Please mark with an “X” the captions that you would agree to adjudicate

A. Band _____ B. Orchestra _____ C. Choir _____ D. Instrumental Jazz _____ E. Vocal Jazz _____

Jr./Middle/Elementary level _____ High School level _____

Complete and return to: Charles R. Briel, Executive Director

Indiana State School Music Association
100 E. Thompson Rd.
Indianapolis, IN 46227-1621
Fax: 317/780-4110