MARYMOUNT MANHATTAN COLLEGE

PRIVATE INSTRUMENTAL and VOICE LESSON PROGRAM- FALL 2017

Name:
MMC ID #:
# of Credits Anticipated
Completed as of 9/05/17
MMC Major:
MMC Email:
Cell Phone # (write clearly):

Step-1:
Select one instrument you would like to study at the location at which you would like to take lessons. If you
would study at either location and your instrument is offered at both, please check both locations:

The Third Street Music The New York Please Write in the Number of Years You Have
School Conservatory of Music Studied Your Selected Instrument.
235 E. 11th Street #1, (NYCM)
NY, NY 10003 321 E. 69th Street, NY,
NY 10021
Classical Piano O O
Jazz Piano O O
Classical Voice O O
Contemporary O O
Voice (Rock/Pop/
Broadway/Jazz)
Jazz/Pop/Rock/ O O
Blues/ Guitar
Classical Guitar O O
Flamenco Guitar O not offered
Viola O O
Violin O O
Cello O O
Classical Bass O not offered
Jazz, Rock, Elec. O not offered
Bass
Drumset O not offered
Orchestral O not offered
Percussion
Vibraphone/ O not offered
Marimba/
Xylophone

Clarinet O not offered

Flute O not offered
Oboe O not offered
Saxophone O not offered
Bassoon O not offered
Horn O not offered
Trombone O not offered
 Trumpet O not offered
Baritone Horn O not offered
Tuba

Step-2 Lesson Preferences

Check your FIRST preference: Individual Lessons Partner Lessons

Hybrid Lessons: 9 individual, 3 group (NYCM only, if partners are available)

If you circled Partner or Hybrid Lessons, do you have someone with whom you would like to share the lessons?

Name:

If you are not offered your FIRST preference (Individual/Partner/Hybrid), would you accept another type of lesson?
(Check all that apply.)

No, only my first choice.

Yes, also an individual lesson. Yes, also a Partner lesson. Yes, also a Hybrid lesson.

Step-3. Availability for Lessons

Put a line through the box of EVERY hour that you know you can be available for a lesson. VERY IMPORTANT TO
INDICATE ALL POSSIBLE TIMES AVAILABLE. This could determine whether you are offered lessons in the program.
Each box represents the hour beginning with the number at the top of that column. If you are only available for
part of an hour, check that box anyway. For lessons at both schools, very limited 4-7pm slots are available. Be sure
to indicate availability at alternate times as well.

9am 10am 11am Noon 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Of the BLOCKS of continuous hours you have checked above (e.g. 2pm-7pm Wed), list up to three as your top
preferences. You do not have to list any preferences.

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2
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Step-4: Signature

I certify that all of the information provided above is correct. I have read and understand that all payments are
non-refundable upon receipt by the Center for Student Services.

___________________________________________________
Print Name of Student

__________________________________________________ _________/________/________
Signature of Student Date

Email application to: Jacqueline Noel, jnoel@mmm.edu

Office Use Only: Date Rcvd: _____/____/___

Type: I P Section: WK1 WK2