Smokefree Pacifica Beats Mentoring Applications are now open for 2018
School: *
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Your name: *
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Your email: *
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Your mobile number and best time for contact: *
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School postal address: *
Please include PO Box/Private Bag address with post code.
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School physical address: *
(If different from postal adress)
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School phone number: *
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Principal's name and email address: *
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School decile: *
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School social links:
Please include the url of your Schools social channels. This could include Facebook, Twitter and Instagram.
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Please tick what skills you would like to develop with your students: *
Required
Please tell us approximately how many students will be in the mentoring group and their grade levels: *
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Please tell us about any students with special needs that may need extra support from the Mentor: *
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How would you describe the ideal Mentor for your students? (E.g a Māori female singer-songwriter) *
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If your school is in Auckland, Wellington, Hamilton, Rotorua, Gisborne, Whanganui or Christchurch: (mentorships outside these areas are for full school days)
How many 2 hour sessions or full school days would be ideal for the mentoring group's goals and how far would they be spaced apart? *
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Which Term is best for your Mentorship? (Tick more than one if you have no strong preference) *
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What kind of technology is available at your school? *
(Example: Garage band, iPads, smartphones)
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What kind of performance/rehearsal space(s) are available at your school? *
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Where did you hear about the NZ Music Commission Education Programmes? *
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Please Tick to Accept the Terms and Conditions *
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Office use only: MC/TC
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