J. William Fulbright College of Arts & Sciences
CMS: Private Lesson Inquiry Form I
Adult name
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First
Last
Adult email address
*
Adult phone number
*
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What is the student's age group?
Select here
0-5
6-12
13-17
18-25
26-39
40-64
65+
Student name
*
First
Last
Student email address
School
*
If not applicable, inout N/A
Instrument or voice type
*
Preferred start date
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Summer 2019 (May 6-Aug 23)
Fall 2019 (Aug 26-Dec 20)
Spring 2020 (Jan 2-Apr 30)
Musical Background. Mark all that apply.
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No formal musical training
Reads music
Plays by ear
Proficient in another instrument
1-3 years of formal training on this instrument
3+ years of formal training on this instrument
Please mark all areas in which the student is interested.
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Band
Choral
Solo classical
Jazz
Popular
Folk
What are the student's learning goals? Mark all that apply.
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Personal/recreational
General musical knowledge
Instrumental mastery
Help with ensemble (band/choral) material
All-region/All-state audition material
Composition/Song writing
Other
Please specify.
If not applicable, input N/A
What level of instruction are you interested in? We attempt to accommodate your preferences but instructor assignments vary based on a number of considerations. Please check all levels you would be comfortable with.
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Undergraduate teacher
Graduate/local professional teacher
UA Faculty instructor
No preference
Not sure. Would like to discuss further.
Preferred days for lessons. Please mark all that apply
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred times for lessons. Please mark all that apply
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Morning
Early afternoon
Mid-afternoon
Late afternoon
Early evening
How did you learn about the private lesson program at Community Music School?
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Referral
Internet Search
Social Media
Newspaper
Radio
Other CMS programs
TV
Newswire
Referred by
*
If not applicable, input N/A
Additional requests or comments.
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