GITC Program Inquiry
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Position
(Required.)
*
4.
School and/or District Name
(Required.)
*
5.
Work Phone Number
(Required.)
*
6.
Work City and State
(Required.)
*
7.
Work Email
(Required.)
*
8.
Home Phone Number
(Required.)
*
9.
Home Email
(Required.)
*
10.
What would you like to discuss with us?
(Required.)
*
11.
What goals would you ideally hope to achieve by bringing GITC to education in your area?
(Required.)
*
12.
What opportunities exist in your district for students to learn music?
(check all that apply)
(Required.)
TK-3 Music Education
Grades 4-5 Music Education
Middle School Music Education
High School Music Education
After School Music Clubs
None
Other (please specify)
*
13.
What role, if any, can you envision yourself playing in bringing GITC to your school/district?
(Required.)
*
14.
Does your district have a department for any of the following?
(check all that apply)
(Required.)
Visual and Performing Arts
Fine Arts
Music
Professional Development
Special Education
*
15.
Are there any local (mom & pop) music stores in your city/county?
(Required.)
*
16.
Where is your nearest Guitar Center and/or Sam Ash Music Center?
(Required.)