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Skill Level Evaluation Form

First Name:

Last Name:

Email:

Address / Apt:

City, State Zipcode:

Phone:

Area: Prefix: Number: Ext:

Experience Level:

Styles You Play:

Blues

Classical

Country

Folk

Fusion

Jazz

Metal

Pop / Rock

Other

Styles Desired:

Blues

Classical

Country

Folk

Fusion

Jazz

Metal

Pop / Rock

Other

Learning Interests:

Technique	Ear Training	Improvising	Harmony & Theory
Jamming	Rhythm & Groove	Recording & Studio	Instrument & Gear Set-Up
		Other:

Class Types:

Ensemble:	Part Time	Full Time
Group Classes:	Part Time	Full Time
Private Instruction:	Part Time	Full Time

Availablility:

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Referred By:

Comments:

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