Adult Education Lessons Application Form

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Biographical

Email Address

First Name

Middle Name

Last Name

Preferred First

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Same as Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

Program Information

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Student Type (Hidden)

Instrument for which you are looking to take lessons (including Voice and Composition):

If other, please put below your instrument:

What modality would you like to take your lessons in?

What genre are you looking to learn?

Classical

Contemporary Musical Arts (Bluegrass, Celtic, Folk, Klezmer, Rock/Pop, World Music)

Jazz

If other, please write your genre here

Please tell us about your musical experience:

Please tell us what your goals are for taking lessons:

When are you available to have a lesson? Please give at least 3 generally available windows (Please add as separate lines in the following format - day of the week, time frame).

Is there anything else we need to know?

Video Submission

If you have some experience playing your instrument, you may upload two short videos of your current playing so that we might get an idea of where your playing is now. This is not an audition, but a few minutes in total of your playing will tell us a lot about your current skills and who might be a good teacher for you in particular. You will be able to upload your videos or provide links on the status portal that becomes available after you create your account. Instructions will be provided via email upon submission of this form.

Will you be submitting videos of your playing to supplement your request for lessons?

Yes

No