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?
Can your school meet the Music and the Brain schedule requirements?*
How did you hear about MATB@Home? Were you referred by another MATB Teacher? If yes, who?
Date of Submission*
Message

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Become a Music and the Brain Partner School