EmailMe Form - Carolina Music Outreach Teacher Application 2012

Your Name: *

Year: *

Address: *

Major: *

Email: *

Phone Number: *

Instrument you wish to teach: *

I would prefer to teach a student who is: (check all that apply)

I prefer to teach students within the following age range:

Are you interested in becoming a member of the Carolina Music Outreach Committee to be more involved in various leadership positions?:

Yes

No

Previous Music/Teaching Experience:

Please mark the days for the 5 PM slot you are available to teach:

Please mark the days for the 5:40 PM slot you are available to teach:

Please mark the days for the 6:20 PM slot you are available to teach:

** Please Note: Teachers, in addition to teaching their lessons, are now required to attend a minimum of 1 Intro Meeting to understand parameters and logistics of being part of CMO. Contact cmo.unc@gmail.com for meeting info**