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Please complete the membership form below to receive your free resources. In an effort to further support high school jazz programs, Jazz at Lincoln Center has continued to subsidize the 2011-12 Essentially Ellington membership, keeping it free for all schools. Your responses to the survey included here are essential to support the continuation of this initiative by helping us gather information about the program. We welcome your feedback and ideas!

If you would prefer to mail in your membership form, please click here to download a form.
CONTACT INFORMATION
*Required Field
   
*First Name Required Field
   
*Last Name Required Field
   
*Program/
High School Name		 Required Field
   
   
*Ensemble Name
Required Field
*School Address:
(No P.O. Boxes)		  
Required Field line 1
line 2
   
*City Required Field
   
*State/Province Please select an item.
   
*Postal Code Required Field
   
*Country Required Field
   
*School Phone Field Required
   
School Fax
   
Home Phone
   
Home Fax
   
*E-mail Address Field Required
 

REQUIRED SURVEY

In order to receive your free Essentially Ellington membership and resource package, please take time to fill out the survey completely. All the fields below are required.
About your school
1. Your program would be best described as:
Public
Private
  Magnet
  Community
(students attend more than one high school)
  Other
  If other, describe:
 
2a. School size
  Less than 500
  500-999
  1,000-1,499
  1,500-1,999
  More than 2,000
 
2b. Music program size
  Less than 100
  100-199
  200-299
  300-399
  More than 400
 
2c. Jazz program size
  Less than 25
  25-49
  50-74
  75-100
  More than 100
   
3a. What is the annual budget for your music department?
3b. What percentage of that budget is allocated for jazz education?
%
   
How much do you rely on outside (non-school funding to support your jazz programs?
  Not at all
  Minimally
  Moderately
  Extensively
  Completely
   
4. Do your students receive school credit for their particpation in jazz ensemble?
  Yes
  No
   
5. Has your institution received Essentially Ellington materials in the past?
  Yes
  No
 
About Your Students
6. How many students are in your jazz ensemble?
  A value is required.
   
7. What percentage of your jazz ensemble students are:
   
8. With which racial or ethnic group(s) do your jazz ensemble students most identify? Please enter numbers only to indicate percentages (note: categories are defined by the Federal government).
  % African-American (Non-Hispanic)
  % Latino or Hispanic
  % Asian/Pacifc Islanders
  % Caucasian (Non-Hispanic)
  % Native American, Aleut or Aboriginal Peoples
  % Other
   
9. Do all of the students in your jazz ensemble attend the same high school?
 
About You
10a. How long have you been teaching?
  First year
  1-4 years
  5-10 years
  11-15 years
  More than 15 years
   
10b. How long have you been teaching jazz?
  First year
  1-4 years
  5-10 years
  11-15 years
  More than 15 years
   
11. What type of jazz pedagogy have you experienced?
(Check all that apply.)
  Personal study on own time
  Personal study on sabbatical
  Included in Methods class
  Conferences: IAJE, MENC, Jazz Improv, other
  Dedicated jazz pedagogy course during undergraduate or graduate training
  Summer jazz professional development seminar: IAJE's ITT, JALC's BDA, other
  Other - please describe:
   
12. To which racial or ethnic group(s) do you most identify?
(Mark more than one if applicable.)
  African-American (non-Hispanic)
  Latino or Hispanic
  Asian/Pacific Islanders
  Caucasian (non-Hispanic)
  Native American
  Other:
  Prefer not to answer
 

(If you get no response when clicking Submit, please scroll up and make sure you have answered all the required questions.)