Music Teacher Information Form
Information Change / Check all that apply
This information is about me
This information is about someone else

Name:
Address:
City, State & Zip:
Daytime Phone:
Evening Phone:
Email Address:
Where do you attend church:

Which of the following do you wish to do:
Teach music theory
Teach sight reading
Teach new songs
Work with song/worship leaders
Workshop to improve congregational singing
Other - please explain

What is your music training/education

Formal music education
Degree name:
Degree from:

Informal music training
In what areas:
Trained where:

List teaching experience

Please list what you would charge for your services and other requirements.

Do not enter any information on this form that you do not wish to be made public. The sole purpose of gathering this information is to let churches know of individuals who wish to make their services available to train congregations in music.