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Building for the Arts
Theatre
Row
Music and
the Brain
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Building for the Arts
Theatre
Row
Music and
the Brain
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Become a Music and the Brain Partner School
Music and the Brain Partner School Application
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
Public
Charter
Private
Other
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?
*
Administrator
Music Teacher
Parent
Other
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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