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Registrant Information Form

Once you've registered for the JHUI Certification Program, please take a moment to complete this short form. Your responses are important and appreciated and will enable us to ‘fine tune’ the program to your needs. Thank you.

* = required fields


Your name:	*
Your e-mail:	*

1. Which JHUI Summer Institute will you be attending? * Vancouver, BC Toronto, ON Truro, NS

2. At which level? * Level 1 Level 2

3. What is your preferred tuning? * C6 (g, c, e, a) D6 (a, d, f#, b) I am comfortable with either tuning.

Questions 4 and 5 are required for all Level 1 registrants.

4. Please briefly indicate your: (a) academic qualifications; (b) teaching qualifications; (c) music qualifications, and (d) your teaching experience. If not applicable, simply type "N/A." a) Academic qualifications: b) Teaching qualifications: c) Music qualifications: d) Teaching experience:

5. Briefly describe your current teaching situation, or, if you are not currently teaching, please describe the teaching/learning environments you desire to be involved in and/or intend to create.

	Your information is treated as strictly confidential. Read our Privacy Policy.