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OMEA Dist. 4 Membership Survey
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* Indicates required question
Email
*
Your email
Optional 2nd email address
Your answer
First Name
*
Your answer
Last Name
*
Your answer
School Contact Phone (xxx-xxx-xxxx)
*
Your answer
School Mailing Address (Please include city and zip code)
*
Your answer
Content area(s) you teach:
*
Mark ALL that apply
Band (HS)
Band (MS)
Band (Elem)
Choir (HS)
Choir (MS)
Choir (Elem)
Orchestra (HS)
Orchestra (MS)
Orchestra (Elem)
Jazz (HS)
Jazz (MS)
Elementary Music
General Music
Other:
Required
Your school district?
*
Choose
Central
Dallas
Falls City
Gervais
Mt. Angel
North Marion
North Santiam
Salem-Keizer
Silver Falls
Springfield
St. Paul
Woodburn
Private or parochial school within a district listed above
Other
School(s) where you teach:
*
If teaching in multiple schools, please list all your schools, and mark your primary location with an asterisk.
Your answer
Questions?
Your answer
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