Student Application Form
1. Full Name
2. Email Address
3. Age of Student
(If under 18, a parent/guardian should complete this form.)
4. Are you applying as:
StudentParent / Guardian applying for a student
5. How long have you been playing the trombone?
Brand new (0–6 months)Beginner (6–12 months)Early intermediate (1–3 years)More than 3 years
6. What best describes your current playing situation? (Select all that apply)
School bandCommunity bandReturning adult playerSelf-taughtOther (please explain)
7. What would you most like to improve over the next 4 weeks?
8. How often are you willing to practice between lessons?
3–4 days per week5–6 days per weekDaily (short sessions)Unsure, but willing to try
9. Do you have reliable access to the following? (Select all that apply)
TromboneInternet connectionPhone, tablet, or computer with camera and microphoneQuiet place to practice during lessons
10. What days and times generally work best for online lessons?
11. Why are you interested in participating in this free pilot program?
12. Program Agreement (required)
I understand this is a 4-week pilot program with limited spots.I agree to attend lessons consistently and practice between sessions.I agree to provide honest feedback at the end of the program.
