NEIU Community Music Program

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Pre-registration Form

Student's First and Last Name *

Student's Age *

Parent/Guardian Name

Email *

Phone Number *

Area(s) of Interest *

Piano (student must have access to a piano or keyboard)

Voice

Violin (student provides instrument)

Viola (student provides instrument)

Cello (student provides instrument)

Classical Guitar (student provides instrument)

Acoustic Guitar (student provides instrument)

Electric Guitar (student provides instrument)

Clarinet (student provides instrument)

Saxophone (student provides instrument)

Flute (student provides instrument)

Trumpet (student provides instrument)

French Horn (student provides instrument)

Trombone (student provides instrument)

Euphonium (student provides instrument)

Tuba (student provides instrument)

Drums/Percussion (student provides instrument)

Other:

Required

Faculty Category *

Junior (current NEIU students as teachers)

Senior (NEIU graduates or other professional teacher)

Artist (NEIU Music Dept Faculty)

Required

Lesson Length Preference *

30 Minutes

45 Minutes

60 Minutes

Required

Name of Teacher You Would Like to Study with (if known)

Other Questions about the Community Music Program

Submit

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