Teacher Survey Teachers' Survey First Name* Last Name* Email* Phone Street Address City* State* —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip (5-digits)* Musical Information Select what best describes your activities (you can select more than one): Private TeacherYouth Orchestra Director/ConductorSchool Music Teacher If you selected Youth Orchestra Director/Conductor or School Music Teacher, please provide the Organization or Employer Main Instrument* —Please choose an option—BassoonCelloClarinetContrabass (Double bass)Double bass (Contrabass)FluteFrench HornGuitar (Acoustic)Guitar (Bass)GuitarHarpHarpsichordMarimbaOboeOrganPercussionPianoPiccoloTromboneTrumpetTubaViolaViolinCello (violoncello)Vocal Select All Instruments Taught —Please choose an option—BassoonCelloClarinetContrabass (Double bass)Double bass (Contrabass)FluteFrench HornGuitarHarpHarpsichordMarimbaOboeOrganPercussionPianoPiccoloTromboneTrumpetTubaViolaViolinCello (violoncello)Vocal *Do you have any students who may be interested in attending Salina Summer Strings this summer? YesNo Financial Aid Camp tuition is $350.00. We may be able to offer needs-based financial aid to students who apply to the camp. Please indicate if you think financial aid may be needed for any of your students to attend Salina Summer Strings. *Please check the appropriate box: Financial aid would be neededFinancial aid might be neededMy students would be able to participate without financial aid. Application Requirements *Please let us know if you think an application video would dissuade students from applying. The video requirement might scare my students.My students can handle the video requirement.I can help my student record a video. Please let us know if you have any other comments or suggestions. [mc4wp_checkbox]
