Please fill in the form below so we can get to know you a little better. Please fill
in each item as completely as possible.
Thank you.
Name:
Email:
Phone:
Address:
City:
State:
Zip:
What Are You Interested In:
Interviews
Concert Reviews
CD/DVD Reviews
Columnist
Graphic Arts
Web Design/ Matinence
Photography
A
dvertising Sales
S
treet Team
Do you have any of the following:
Digital SLR Camera
Digital Point & Shoot Camera
Hand Held Recorder
Internet Access
Cell Phone
Your Own Car
A
re You Currently Attending School
:
Y
es
N
o
I
f You Are Attending School Please List the Name
of Institution and Anticipated Graduation Date
:
W
hat Cities are you willing and able to go to in an
effort to perform interviews or write reviews
:
H
ow Many Concerts have you attended in the last
year
:
P
lease List Some of Your Favorite Bands
:
H
ave You Ever Been Involved In The Music
Industry in any way? Please list any past
experinces
:
P
lease List Any Previous Writing, Photography
Graphic Experience, include links to website that
contain any of your work
W
here Do You Currently Get Your Music News
:
H
ow Did You Hear About Empire
:
P
lease Share Your Thoughts About The Music
Scene In Your Area
:
Please supply any additional info you feel is relevant: