Instructor Application - Technology in Music Education

TI:ME Instructor and Site Application

First Name - Req

Last Name - Req

Sufix

Organization

Addess 1 - Req

Address 2

City - Req

State - Req

Zip Code - Req

Country

Primary Phone - Req

Mobile Phone

Fax

Email Address - Req

Web Site URL (include http://)

School or Company Name - Req

Business Addess 1 - Req

Business Address 2

Business City - Req

Business State - Req

Business Zip Code

Business Country

Academic Degree - Req

Degree Awarded By - Req

Additional Degree

Additional Degree Awarded By

Additional Degree

Additional Degree Awarded By

List any additional technology courses or workshops you have completed.

Describe your personal and/or professional use of music technology. - Req

Years of Teaching Experience - Req

Do you have a facility that could host a TI:ME course? - Req *

Yes No

Does your institution provide courses for in-service teachers? - Req *

Yes No

New TI:ME instructors are required to attend a training session. The next scheduled training session is at the TI:ME National Conference. For dates and other informatino, see the Conference section of our web site. Can you attend this training session? - Req *

Yes No

Please upload your Curriculum Vitae Word Document or PDF - Req

References

Examples of how you are teaching using technology?

Samples of your work as it relates to music technology?

Academic Papers, Publications, etc

Date Submitted - Req

TI:ME Instructor and Site Application

Contact Info

Membership Issues

Executive Director

Important Links

Address

TI:ME Instructor and Site Application

Contact Info

Membership Issues

Executive Director

Important Links

Address

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