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Jazz Power Institute 2023 for Artists and Educators
Please fill in this registration form to help us know what you expect at our Jazz Power Institute 2023 for Artists and Educators.
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* Indicates required question
1. Full Name
*
Your answer
2. Zip Code
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Your answer
3. Phone Number
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Your answer
4. Email
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Your answer
5. What population do you teach?
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Full- or part-time Grades K-5 teacher
Full- or part-time Grades 6-8 teacher
Full- or part-time Grades 9-12 teacher
College
Adults
Private teaching artist
I am not currently a teacher/teaching artist.
Required
6. How many years of experience do you have teaching?
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0-1
2-5
5+
Other:
7. What organization(s) are you affiliated with?
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Your answer
8. Are you a New York City resident?
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Yes
Other:
9. What do you expect to receive from Jazz Power Institute?
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Your answer
10. Will you be taking CTLE credit for your time at Jazz Power Institute? (For DOE employees)
*
Choose
Yes
No
11. How did you hear about Jazz Power Institute?
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Lehman College
Jazz Power Initiative's social media ad
A friend/colleague
An email/newsletter
12. How old are you?
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18-25
26-35
36-45
46-55
56-65
65+
I prefer not to answer
13. (OPTIONAL) How do you identify yourself? Check all that apply
White or Caucasian
Asian or Pacific Islander
Native American or American Indian
Black or African American
Hispanic or Latino
Other:
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