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Mind&Melody Application
Session Leader and Musician Application
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Contact Information
I understand that Mind&Melody may only be able to offer a few hours per month based on my availability and program availability. There is no specific amount of hours required or guaranteed.
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Yes
No
Name
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Your answer
Are you at least 18 years old?
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Your answer
E-mail
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Your answer
Phone
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Your answer
Facebook (optional)
Your answer
Closest Location
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Miami
Ft. Lauderdale
Boca Raton
West Palm Beach
Jupiter
Treasure Coast (Stuart/Jensen/PSL)
New York
New Mexico
Other:
School (if applicable)
Your answer
Preferred method of communication
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Phone Call
Text
E-mail
Facebook
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Availability
Do you have flexibility in your schedule?
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Yes
No
Other:
Do you have your own means of transportation?
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Yes
No
Mind&Melody Questions
Which positions interest you?
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Session Leader - teaches the music curriculum to participants with dementia (music background required/training provided)
Professional Musicians - performs music at sessions
Required
Briefly tell us why are you interested in this job ?
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Your answer
Why do you think you would be a good for the position? (skills, experience, qualities)
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Your answer
Besides English, do you speak any languages fluently?
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Your answer
Musical Experience
List musical activities you participate in and instruments you play
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Your answer
Are you able to sight-read?
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Yes
No
Other:
Are you able to transpose music?
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Yes
No
Other:
Are you able to play by ear?
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Yes
No
Other:
From the following list of songs, please check off ALL THE SONGS you know and can perform well. If you DO NOT know any, type songs you do know from the 1930s-1980s in the "Other" box
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New York, New York
Fly Me to The Moon
La Bamba
Cheek to Cheek
Que Sera, Sera
Can't Help Falling in Love
Hound Dog
Moon River
My Funny Valentine
Besame Mucho
What a Wonderful World
The Way You Look Tonight
Make Someone Happy
Other:
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How did you hear about Mind&Melody?
Your answer
Please list any other skill sets (music and non-music related):
Your answer
Please list any additional comments, concerns or questions below:
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