New Student Application

1
Student Name* This field is required.
First Name
Last Name
2
Email Address* This field is required.
example@example.com
3
How long have you been playing the flute?* This field is required.
Less than 1 year
2-4 years
5-10 years
More than 10 years
4
What level of musician are you?* This field is required.
Middle School
College
Adult
High School
Other
5
Parent/Guardian name
First Name
Last Name
6
If you are a student, which school do you attend?
7
Have you taken private lessons before?* This field is required.
Never
A long time ago
Only a few times
Yes, I have taken lessons fairly consistently
8
What type of flute do you have?* This field is required.
9
Why do you want to take lessons?* This field is required.
I want help with an audition like youth orchestra, All-East, or chair placements. Once my audition comes around, I may or may not stick with lessons.
I want help with my current struggles and willing to invest time into improving my flute playing.
My band director suggested I take lessons.
Other
10
Please try to answer as honest as possible :)* This field is required.
I'm comfortable with this
I'm neutral with this/not sure
I struggle with this
Major Scales
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Tone Quality
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Sight Reading
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Articulation/Tonging
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Double Tonguing
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Playing Fast
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High Notes
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Low Notes
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Key Signatures
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Performance Anxiety and Positive Practice
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Row 9, Column 2
Play without Pain/Stiffness
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Row 10, Column 2
Slurring Octaves and Larger intervals
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Row 11, Column 1
Row 11, Column 2
Rhythm
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Row 12, Column 1
Row 12, Column 2
Keeping a steady pulse
Row 13, Column 0
Row 13, Column 1
Row 13, Column 2
Major Scales
Tone Quality
Sight Reading
Articulation/Tonging
Double Tonguing
Playing Fast
High Notes
Low Notes
Key Signatures
Performance Anxiety and Positive Practice
Play without Pain/Stiffness
Slurring Octaves and Larger intervals
Rhythm
Keeping a steady pulse
I'm comfortable with this
Row 0, Column 0
I'm neutral with this/not sure
Row 0, Column 1
I struggle with this
Row 0, Column 2
I'm comfortable with this
Row 1, Column 0
I'm neutral with this/not sure
Row 1, Column 1
I struggle with this
Row 1, Column 2
I'm comfortable with this
Row 2, Column 0
I'm neutral with this/not sure
Row 2, Column 1
I struggle with this
Row 2, Column 2
I'm comfortable with this
Row 3, Column 0
I'm neutral with this/not sure
Row 3, Column 1
I struggle with this
Row 3, Column 2
I'm comfortable with this
Row 4, Column 0
I'm neutral with this/not sure
Row 4, Column 1
I struggle with this
Row 4, Column 2
I'm comfortable with this
Row 5, Column 0
I'm neutral with this/not sure
Row 5, Column 1
I struggle with this
Row 5, Column 2
I'm comfortable with this
Row 6, Column 0
I'm neutral with this/not sure
Row 6, Column 1
I struggle with this
Row 6, Column 2
I'm comfortable with this
Row 7, Column 0
I'm neutral with this/not sure
Row 7, Column 1
I struggle with this
Row 7, Column 2
I'm comfortable with this
Row 8, Column 0
I'm neutral with this/not sure
Row 8, Column 1
I struggle with this
Row 8, Column 2
I'm comfortable with this
Row 9, Column 0
I'm neutral with this/not sure
Row 9, Column 1
I struggle with this
Row 9, Column 2
I'm comfortable with this
Row 10, Column 0
I'm neutral with this/not sure
Row 10, Column 1
I struggle with this
Row 10, Column 2
I'm comfortable with this
Row 11, Column 0
I'm neutral with this/not sure
Row 11, Column 1
I struggle with this
Row 11, Column 2
I'm comfortable with this
Row 12, Column 0
I'm neutral with this/not sure
Row 12, Column 1
I struggle with this
Row 12, Column 2
I'm comfortable with this
Row 13, Column 0
I'm neutral with this/not sure
Row 13, Column 1
I struggle with this
Row 13, Column 2
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11
Please tell me your specific goals and what you are wanting to get out of private lessons?* This field is required.*If you answered this on the inquiry form please expand on those goals*
12
Is there anything I should know about you or your learning style that can help me understand your needs?
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13
Are you interested in Virtual or In-Person Lessons?* This field is required.In Person Offered in Johnson City at my home or at the Renaissance Center in Kingsport, TN
Virtual
In Person (Only available to students in the Tri-Cities area)
Hybrid (Only available to students in the Tri-Cities area)
14
Which date/times of the week work best for you? *Please select all that apply and I will work with you to find what works best for both of us. Times do not need to be exact, it's just a ballpark estimate to get the ball rolling!** This field is required.*No lessons on weekends or holidays*
Monday between 10am-2pm
Monday between 2:00pm-4:00pm
Monday between 4:00pm-6:00pm
Tuesday between 4:00pm-6:00pm
Wednesday between 4:00pm-6:00pm
Thursday between 10am-2pm
Thursday between 2pm-4pm
Friday between 4:00pm-6:00pm
15
Describe yourself in one sentence! * This field is required.I'd like to get to know you!
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16
Anything else you'd like to let me know about?
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17
If you were referred by a friend or teacher, who can I thank?*if answered on the Inquiry form you can ignore this :)*
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