KHSA Potential Artist Questionnaire

Potential Artist Questionnaire
AltusH. JimenezHerculesHohner AccordionsHohner HarmonicasJupiterLanikaiMajesticMapex DrumsMapex MarchingSonor DrumsXO Brass
Name of Artist*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Please provide the following links (if applicable)
Date of Birth*

MonthDayYear
Date
Home Town
Education - High School
Education - College and/or Music School
Current Teaching Assignment (if applicable)
Name of School
Contact Person
School Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Length of Association
Previous Teaching Schools (with duration of affiliation)
Artist Management Information (if applicable)
Name of Management
Contact Person
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Length of Association
Background Information
Professional Teachers Studied Under
Clinic/Teaching Background
Equipment You Are Using At The Present (detail brands, models, sizes, etc.)*
Current Musical Influences
Links To Video Or Recordings Of Performances
Current Endorsements From Other Companies
Music Dealer You Regularly Do Business With
Name of Dealer
Contact Person
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Length of Association
Please Let Us Know Why You Want To Be A Part Of The Artist Program*
Please upload your EPK/Resume*

Cancelof
Should be Empty:

Potential Artist Questionnaire

Current Teaching Assignment (if applicable)

Artist Management Information (if applicable)

Background Information

Music Dealer You Regularly Do Business With