Prospective Student Application

Full Name of Student  :  *
Full Name of Parent/Guardian (if applicable)  : 
Email Address  :  *
Best Contact Phone Number  :  *
Age  :  *
Current Level of Education (or highest achieved)  :  *
Describe your musical background or experience.  :  *
What are you most interested in studying/improving upon? What are a few of your short-term and long-term goals?  :  *
You could take lessons from anyone. Why Nick?  :  *
How many hours per week (roughly) are you able to commit to your practice routine?  :  *
Lesson Schedule Format Preference  :  *
When can you start?  :  *
Describe your weekly availability for lessons. Note that Saturdays are strongly encouraged. If unsure, just give your best estimate.  :  *
Please describe any known learning deficiencies or conditions.  : 
Other comments or questions  : 
Enter text into the box  :  *