MOoD Screening Intent Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

School, District, or Organization* This field is required.

4

Which opera do you plan to show?* This field is required.Please include title of opera, composer, and performance year if possible.

5

When do you plan to host this screening?* This field is required.

Date

6

When do you plan to host this screening?* This field is required.

7

What is the grade level of students attending?* This field is required.Select all that apply.

Grades K-3

Grades 3-5

Grades 6-8

Grades 9-12

Families

8

What type of students are attending?* This field is required.Select all that apply.

General education

Music

After school/extracurricular

9

How do you plan to prepare students for the screening?* This field is required.Select all that apply.

Illustrated Synopsis

Educator Guide activity

Opera Arrangement

Educator Guide informational text

Lesson Plan Library

Other

10

If “other,” please describe how you plan to prepare students for the screening.

11

If you need any additional resources from the Met Education team, please list them below.