Wabash Valley Musicians Hall Of Fame, Inc. Questionnaire (March 2023) Date ___/___/___ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Complete this section if the questionnaire is not for yourself, otherwise leave blank: Name __________________________________________ Telephone (_____) _________________ Email _________________________________________________________________________________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Complete this section for the person to be considered (yourself or someone else): Name _______________________________________ Telephone (_____) _________________ Address _______________________________________________________________________________ _______________________________________________________________________________ Email _______________________________________________________________________________ Age _____ Years Performed ______ Years Performed in the Wabash Valley _____ What or who influenced you to start playing a musical instrument? _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ What instruments do you play and why did you choose them? _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Bands you worked with and the years you played with them. List school bands, as well. _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Memorable events and accomplishments: _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Send completed form to: Wabash Valley Musicians Hall of Fame 1427 S. 25th St. Terre Haute, IN 47803 wabashvalleyhof@yahoo.com