Adult Education Inquiry Form

Personal Information

Email Address

First Name

Preferred Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

NEC will occasionally send information via text message․ Please check here to receive messages from NEC via text․

I would like to receive text messages from NEC.

Continuing Education Interests

Have you been an NEC Adult Education student in the past?

Yes

No

What is your current college/university enrollment status

Which ensembles and/or courses of NEC Adult Education are you interested in enrolling in?

Chamber Ensembles

Jazz Ensembles

Lessons

Classes

What other courses and/or ensembles are you interested in?

Do you have any additional questions or comments about Adult Education at NEC that you'd like to share?

Primary Instrument

Secondary Instrument

Please specify "other"