Jazz Combo Clinics 2017
For the 2016-2017 school year, NJAJE is pleased to provide an opportunity for your Jazz Combo (10 or less musicians) to receive a clinic from a choice of several outstanding jazz musicians and university educators. These clinicians are able to either visit your school at a mutually agreeable time and date, or host your combo at their location. The choice of clinician and location are up to you (pending availability). NJAJE members pay a $100 fee for this service.

Please fill out the the application below, and send a check or purchase order made payable to NJAJE, c/o Jeffrey Lesser, 16 Stoneham Drive, Delran, NJ 08075. Once your application is received, every effort will be made to assign a clinician, date, and location that is mutually agreeable.

It is possible that exemplary combos may be invited to perform in exhibition at a NJ State Finals location or other venue. More information will follow.

School Name *
Your answer
Director/Advisor Name *
Must be an NJAJE member and faculty member at the school (even if the combo leader is a student).
Your answer
School Street Address *
Your answer
School City *
Your answer
School State *
School Zip *
Your answer
email *
Your answer
School Phone (xxx-xxx-xxxx) *
Your answer
Mobile Phone (xxx-xxx-xxxx)
Your answer
Student Leader Name
Optional
Your answer
Combo Name *
Your answer
Combo Members *
First Name Last Name, Instrument; First Name Last Name, Instrument; etc.
Your answer
Clinician First Choice *
Choose your preferred clinician. Every effort will be made to fulfill requests depending on availability.
Clinician Second Choice *
Choose your preferred clinician. Every effort will be made to fulfill requests depending on availability.
Clinician Third Choice *
Choose your preferred clinician. Every effort will be made to fulfill requests depending on availability.
Location *
Clinic Date and Time Preference *
List up to five possible dates and times that you are available (in order of preference). Please use the following format: Day, Month, Date, and then add either AM, PM, or EVE.
Your answer
Notes and Comments
Please let us know any other information necessary for a positive, educational experience for your students.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.