Full Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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PCB Join Date *

MM

DD

YYYY

Areas you're willing to volunteer

Concert Operations & Logistics

Development/Fundraising/Grants

Outreach/Hospitality/Events

Historian/Photography

Marketing/Social Media

Music Library

Member/Board Recruiting

Interest in serving on the Board? *

Yes

No

Interest in Chamber Ensembles? *

No

Yes, participate

Yes, lead and participate

Birth Date *

MM

DD

YYYY

Race *

Race and ethnicity standards are determined by the U.S. Office of Management and Budget (OMB). The current standards were published in 1997.

White

Black or African American

American Indian and Alaska Native

Asian

Native Hawaiian and Other Pacific Islander

Two or more races

I do not wish to disclose

Ethnicity *

Race and ethnicity standards are determined by the U.S. Office of Management and Budget (OMB). The current standards were published in 1997.

Hispanic or Latino

Not Hispanic or Latino

I do not wish to disclose

Gender Identity *

To which gender identity do you most identify?

Female

Male

Transgender Female

Transgender Male

Gender Variant/Non-Conforming

Other

I do not wish to identify

LGBTQ+ Community Affiliation *

Yes

No

I do not wish to disclose