Participation Form 2018
Thanks for your interest in taking part in the 2018 Modulo Programme – we’re excited to have you on board!

To confirm your place, please complete the below form by 11 December 2017. At the beginning of December, you'll receive a Modulo Pack containing all the resources you’ll need for the 2018 Modulo Meets.

By signing the form, you are agreeing to:

- lead an ensemble in your school or community using the Modulo Music and teaching resources
- attend the relevant Regional Meet in March 2018 and the National Meet in London in June 2018
- complete the feedback forms about the impact of the programme within the deadlines given
- comply with the licensing agreement outlined below

Should you have any questions about the Modulo Programme or the participation form, don't hesitate to get in touch with the Modulo team at anna.williams@orchestrasforall.org or on 0207 267 4141.

School or Community Group name *
Your answer
School or contact address (your Modulo resources will be posted here) *
Your answer
School or contact postcode *
Your answer
In which region is your school / community group based? *
Modulo Leader name *
Your answer
Modulo Leader email address *
Your answer
Modulo Leader telephone number *
Your answer
Headteacher or Head of Department name (if applicable)
Your answer
Headteacher or Head of Department email address (if applicable)
Your answer
Have you previously taken part in the Modulo Programme? *
Has your school or community group previously taken part in the Modulo Programme (i.e. with a different teacher)? *
How did you hear about the Modulo Programme? *
Why are you interested in taking part? *
Required
Approximately how many students will participate in your Modulo this year? *
Your answer
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