Music for Students Interest Form

Please complete the form below to indicate your interest in the Music for Students program.
Some fields are optional, but additional details help us tailor visits and ensure a meaningful experience for your students.
Please note that submitting this form does not guarantee a program visit. Available dates will be announced by MITV and noted on the Music for Students program website.

Contact Information

Name(Required)
Enter your first and last name.
Enter the best email address for communicating with you.
Enter the best phone number for communicating with you.
Phone Type(Required)
Please indicate if this is a mobile, direct office/room line, or general school phone number.

School & Planning Details

Enter your school, university, or institution name.
Enter the subjects and/or classes that you teach.
Grade Levels
Indicate the grade levels that you teach. Check all that apply.
Have your students participated in this program in the past?(Required)
Is there anything we should know about your students that could help us tailor the program for them? For example, their musical background, interests, classroom dynamics, or learning styles.
Please share any details about your classroom schedule, school calendar, or other considerations that would help us plan Music for Students visits. For example, timing preferences, special events, or administrative guidelines that affect when musicians could visit.

Program Dates & Times

First Choice(Required)
Please indicate which date and time is your first choice.
Second Choice
Please indicate which date and time is your second choice.
Third Choice
Please indicate which date and time is your third choice.
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