MTAC Santa Monica Bay • MSSL Application Form

MTAC Santa Monica Bay
Music Students' Service League (MSSL)

Deborah H. How, Advisor
(MTAC Santa Monica Bay Treasurer)
dhhow.music@gmail.com

Emily Senchuk, Advisor
(MTAC Santa Monica Bay Membership Secretary)
emsenchuk@gmail.com

MSSL Santa Monica Bay provides 6th–12th grade students of MTAC Santa Monica Bay members with the opportunity to give service to the community through music.

MTAC Santa Monica Bay MSSL projects and opportunities include:

Programs and performances at retirement homes, hospitals, and other venues through community outreach recitals and concerts.
Fund-raising events to benefit music education organizations and community music schools serving at-risk children and youths.
Ambassador of Music assignments to promote music appreciation in the community.
Learning opportunities in volunteer non-profit event planning by assisting MTAC branch project/event chairs.
Leadership skill-building experience in a student-run organization with its own board of directors.
Participation in MTAC Santa Monica Bay MSSL may also fulfill the community service requirements of schools and other organizations.

Teacher Information

Teacher Name *

First Name Last Name

Teacher E-mail *

example@example.com

Student Information

Student Name *

First Name Last Name

Student Instrument(s) *

You may list primary and secondary instruments. Please only list instruments that you feel comfortable playing in front of an audience in a recital setting.

Student Age *

Please select Current Age

Student Grade *

Students must be in School Grades 6–12 to participate in MSSL

Student E-mail *

example@example.com

Student Phone *

Please enter a cell phone number if you have one, so we can text you if necessary

School Name *

For example: Santa Monica High School

School City *

For example: Santa Monica

Parent/Guardian Information

Parent/Guardian Name *

First Name Last Name

Parent/Guardian E-mail *

example@example.com

Parent/Guardian EMERGENCY Phone *

Please provide the BEST phone number (preferably cell) to reach your Parent/Guardian in case of an EMERGENY

MSSL Board of Directors Information

Would you be interested in serving on the MTAC Santa Monica Bay MSSL Student Board of Directors? *

YES NO MAYBE

Do you currently serve or have you ever served on your school's Student Council? *

YES NO

What positions do you hold or have you held? (Select all that apply) *

President Vice President Treasurer Secretary Member at Large Parliamentarian Other

In which school grades were you on Student Council? (Select all that apply) *

6th 7th 8th 9th 10th 11th

Questions or Comments to the MSSL Advisors (OPTIONAL)