Adult Student Application * = required field Student Contact Information Student Name*: Address*: City*: State*: Zip*: Student Telephone*: *HomeCell Texting OK?*YesNo Email*: Emergency Contact Information Emergency Contact Name*: Relationship to Student*: Emergency Contact Telephone*: *HomeCell Texting OK?* YesNo Emergency Contact Email*: Lesson Preferences Please list three choices of days for a weekly lesson. Indicate the earliest start time and latest stop time for each day listed.*: Would you like to be on the waiting list if there is no availability?**YesNo Do you like to sing?* YesNo Would you want to join the RMAOA Adult Choir?* *YesNoMaybe - want to know more About the Student Student Date of Birth (YYYY-MM-DD)*: Name of school or college attending, if any*: Grade/Level*: Occupation, if any:* What is your goal in taking piano lessons?* Do you play any instrument besides piano? If yes, what instrument? Learning privately or at school? Do you like to perform on this instrument?* Student's Piano Experience What is your piano level: beginner, intermediate, advanced?* Will you be practicing on an acoustic or digital piano? What kind/brand/model?* If you own a digital piano, how soon will you be able to purchase or rent an acoustic piano?* Is the practice piano located in your home?**YesNo How much of your daily time are you willing to spend on piano practice? How many days per week?* NOTE: If you have not played piano previously, please enter NA in response to the remaining questions in this section. If you took lessons, did you take 30, 45, or 60 minute lessons? How many lessons per week? For how many months/years?* What do you play now? Please list repertoire, if any*: How good are you in sight-reading, music theory, and ear training?* Do you think you have a good ear? Absolute pitch? Good sense of rhythm?* Are you aware of any problems with technique?* Are you aware of any problems with hand position and touch? Are you aware of any bad habits?* Do you play scales, arpeggios, chords, exercises, etudes, studies, Hanon, Czernie, and/or Schmitt?* Do you know how to master the details of a piece, set a goal, and work toward the result?* Do you like to perform on piano?* Have you participated in recitals, competitions, and festivals?* Currently, how long is your practice per day? How many days per week?* Are you switching teachers? How many teachers have you had in total? Please provide names, tell how long you studied with each teacher, and describe why you switched.* Almost Done! Is the student allergic to dogs?* Are you willing to volunteer at our studio recitals (twice per year)? If yes, what kind of help would you be interested in: recital program design, recital program printing, photography, video recording, stage manager, usher, emcee, organize reception, set up, clean up, post pictures on Facebook, upload videos to YouTube?* How did you hear about Elza Ritter and the Russian Music Academy of America (RMAOA)?* If you have any questions, please enter them here: I am not a robot: 5 + 5 = Thanks so much in your interest in the Russian Music Academy of America (RMAOA). If you are mailing a printed application, please use the address listed on our Contact Us page. Elza Ritter will contact you.