| 1. |
Name (First, Middle, Last) :
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| 2. |
Address :
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| 3. |
City :
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| 4. |
State :
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| 5. |
Zip :
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| 6. |
Cell Phone (including area code) (List the best number for TAA to reach you):
()
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| 7. |
Home Telephone or Additional Telephone (including area code):
()
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| 8. |
Primary E-Mail Address : (
This e-mail must include the ability to accept attachments. All TAA correspondence will be sent to this e-mail address. Please be certain that this email address is correct and accessible to you at all times.)
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Re-enter Primary E-Mail Address :
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| 9. |
Secondary E-Mail Address :
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| 10. |
Name of school where you currently teach (If you work in the district office, please list the name of the district. If you are retired or do not teach in a school, please put N/A in each box that is school-related):
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| 10A. |
School Address :
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| 10B. |
School City :
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| 10C. |
School State :
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| 10D. |
School Zip :
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| 11. |
School Telephone :
()
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| 11A. |
School Email :
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| 11B. |
School Website :
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| 12. |
Name of Principal (If you work in the district office, please list the name of the superintendent):
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| 13. |
Principal's E-Mail (If you work in the district office, please list the E-Mail of the superintendent):
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| 14. |
The school system (or the area of the state) where I primarily teach is located in:
East Tennessee
Middle Tennessee
West Tennessee
Not in Tennessee (enter city and state where you teach)
I Am Not Currently Teaching
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| 15. |
Type of K-12 school or school system:
Public
Private
Charter
ASD
Other
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| 15A. |
Please select the appropriate category which most closely matches your current status:
K-12 Teacher and/or Administrator
University Faculty
Pre-Service University Student
Teaching Artist, Private Lessons Instructor, or Community Music Director/Conductor
Retired Teacher
Conductor/Ensemble Director
Other (please specify)
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| 15B. |
How would you describe your school?
Urban
Suburban
Rural
Not Applicable
Other (please specify)
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| 16. |
If you are a regularly employed full time teacher in a public school in Tennessee (not a teaching artist or visiting lecturer, etc)
, please select your school system name from this pull-down list:
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| 17. |
How do you plan to attend:
In Person - I will report to 801 2nd Ave North - Nashville, TN 37201
Online - Via Zoom Link
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| 18. |
What is your teaching/supervisory status in your school:
Full time
Part time
Not Applicable
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| 19. |
Grade levels you teach/supervise this year: (check all that apply):
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Not Applicable |
| 20. |
Choose the roles and positions you hold (Select all that apply):
Instrumental Musician
Vocal Musician
Band Director/Conductor
Choral Director/Conductor
Symphony Director/Conductor
Current College Student
Director or Other Role in a School or Arts Organization
Musical Theatre Director
Elementary School Music Educator
Middle School Music Educator
High School Music Educator
General Music Educator
Other (please specify)
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| 21. |
Have you ever attended or participated in a TAA Program (select all that apply):
TAA Summer Institute
TAA Summer Institute Visitors' Day ONLY
TAA Virtual Winter Retreat
TAA Arts Rich Schools Program & Awards
Mentorship Program
Teacher Hero
TAA Academy Award Winner
TAA Talks Podcast Interview Participant
Connections Visual Art Exhibition Artist (Summer Institute)
Never Attended or Participated in a TAA Event
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The following series of questions help us gather statistical data requested by the Tennessee Department of Education from all participants.
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| 25. |
Gender identity:
Male
Female
Prefer not to answer
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| 26. |
Ethnicity/Race:
Decline to answer
American Indian or Alaskan Native
Asian or Pacific Islander
Black, not of Hispanic origin
Hispanic
White, not of Hispanic origin
Other
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| 27. |
Degrees earned (check all that apply):
Bachelors
Masters
Specialist in Education
Doctorate
Other (please specify)
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| 28. |
Years teaching experience (as of the end of this current school year):
0
1
2
3
4
5
6-10
11-15
16-20
21-25
26-30
31-35
36-40
41-45
45+
Not Applicable
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| 29. |
Did you attend the 2025 TAA Summer Institute at Middle Tennessee State University July 13-18?
Yes
No
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| 30. |
Medical Needs:
I have no medical conditions or physical limitations that will affect my participation.
I have a medical condition or physical limitations that will affect my participation (If you check this answer, please complete 30 A and/or 30 B).
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| 30A. |
The following medical condition/s will affect my TAA Masterclass participation:
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| 30B. |
The following physical limitation/s will affect my TAA Masterclass participation:
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| 31. |
Consultation Needed:
I need an Arts Academy staff member to contact me prior to the masterclass date regarding medical conditions or physical limitations that may impact my participation.
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| 32. |
In-person participants may choose to pre-purchase a box lunch from McAlister's Deli before the Masterclass. Lunch will be available 11:00 AM - 12:00 PM CST before the Masterclass begins at Noon. If you would like to attend in person, are you interested in purchasing a box lunch?
Yes, I would like to order a $15 box lunch.
No, I do not wish to order a boxed lunch. (Virtual participants choose this option!)
I am not sure yet
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| 33. |
In-Person Participants: In this space type BOTH your FIRST AND LAST NAME as you would like to see it on your nametag:
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| 34. |
Your Name As You Would Like To See It Printed On Your Certificate After Completion of This Masterclass:
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| 35. |
Are you interested in conducting during the Masterclass? (If interested, TAA will send you instructions on submitting your music for consideration before the Masterclass.)
Yes - I would like to conduct.
No - I'll attend as an observer (Virtual participants choose this option.)
Maybe - I am still considering it.
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Additional Comments You Wish To Provide To The TAA Staff Regarding Your Application:
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YOU ARE NOT FINISHED QUITE YET! PLEASE CLICK ON THE CONTINUE BUTTON BELOW IN ORDER TO VERIFY AND COMPLETE YOUR APPLICATION
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