Become a Partner School | Music and the Brain

Please fill out this application in full. All fields marked with an asterisk (*) are required.

School Name*
School Phone Number*
School Address (Including City, State, and ZIP Code)*
School District
School Type
Is your school a Title I school?*
Grade levels serviced in the school: For example, PreK - 5th
Number of Students Enrolled
What is your role/relationship to this school?*
How many working keyboards (61 keys or more) do you already have in your classroom?
Music Teacher's Name*
First Last
Music Teacher's Email*
Music Teacher's Mobile Phone*
Principal's Name*
First Last
Principal's Email*
Principal's Mobile Phone (Optional)
Does your school have a dedicated music classroom?*
Is there an interactive whiteboard (SmartBoard, Promethean, etc.) in the music room?*
What remote/distant learning platform are you currently using?
How many times per week are you teaching music? Which grades?
How did you hear about Music and the Brain? Were you referred by another MATB Teacher? If yes, who?
Date of Submission*
MM slash DD slash YYYY
Message

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Become a Music and the Brain Partner School