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VTM Teacher Intake

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Check all age ranges you wish to teach:(Required)

All Ages

3-6

7-12

13-18

19-40

>40

Check all instruments you teach:(Required)

Piano

Woodwinds

Brass

Strings

Percussion

Voice, Female

Voice, Male

Braille Music

Piano Details:

Years Teaching Piano:

Woodwinds Details:

Years Teaching Woodwinds:

Brass Details:

Years Teaching Brass:

Strings Details:

Years Teaching Strings:

Percussion Details:

Years Teaching Percussion:

Female Voice Details:

Years Teaching Female Voice:

Male Voice Details:

Years Teaching Male Voice:

Braille Music Details:

Years Teaching Braille Music:

Check all music styles you are proficient at performing and teaching:(Required)

Classical

Jazz

Rock

Country

Folk

Pop

R&B

Funk

Hip-hop/Rap

Electronic (House, Techno, Dubstep)

New Age

Check the location(s) where you teach:(Required)

Remote

In person, in my studio

In person, in student’s home (within reasonable driving distance)

Check all the ways you learn music (check all that apply)(Required)

By reading music notation

By ear

Check what you can play by ear:

Simple melodies and harmonies

Moderately difficult melodies and harmonies

Check all that apply for composing, improvising, and transposing:

I am proficient at composing music

I am proficient at improvising

I can transpose a piece and perform it out of its native key

How many years have you been teaching music to blind or visually impaired music students?(Required)

1-3

4-6

More than 6

Please provide an overview of your experience working with blind and visually impaired music students:

List schools attended, private instruction, certificates, and performance experience:

By submitting this form, I agree to a short virtual interview and a background screening.(Required)

By submitting this form, I agree to a short virtual interview and a background screening.

Headquarters:
Children’s Eye Foundation of AAPOS
5034A Thoroughbred Lane
Brentwood, TN 37027
615-649-3079
23-7116400

All Children See
Stop Infant Blindness in Africa (SIBA)
Vision Through Music®

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