:: MUSIC :: Evidence of an Amazing God ::

- Entrance Interview Form -
After reviewing the lesson guidelines, please fill in the following form.
Kate will then contact you about scheduling an Entrance Interview.

*Required fields

Full Name*

Phone Number*

Age* Parent or Guardian (if under 18)

Full Mailing Address*

Desired Lesson Time*

Current openings:
Monday
Evenings

Email Address*

How did you hear about these music lessons*?

What would you like to learn?
Check one or more:
Piano Guitar
Percussion Voice

Do you play other instruments?
Yes No

If so, what instruments?

What Do You Already Know?

Key Signatures? Yes No

Time signatures? Yes No

Major and minor scales? Yes No

Chord charts? Yes No

Improvise / play by ear? Yes No

Sight reading? Yes No

How Do You Hear?

Do you usually learn (songs or anything) by reading or hearing?
Hearing
Reading

How much time do you spend in an average day listening to music?

Are you drawn more to the voices (melody) or instruments (accompaniment)?
Voices Instruments

When you hum a familiar tune, what do you hear in your head? Do you hear the melody, or the whole arrangement?
Just melody Whole band

What Do You Want?

List three goals, interests, or preferences that you want to pursue in your lessons. This is the most crucial part of this worksheet. Please take as much time as you need to answer. An interview can not be scheduled until this portion is completed. The only wrong answer is no answer…

Comments / Questions?*
(Why do you want lessons?)

Goal 1*

Goal 2*

Goal 3*

I have read and accept the
Lesson Guidelines*
Yes No

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