SEPTEMBER 7, 2005 - 6 PM

SPECIAL NOTICE 

CURRENTLY, THIS FORM PAGE BELOW IS MALFUNCTIONING AND NOT FORWARDING YOUR COMPLETED FORMS TO OUR OFFICE.

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SUZUKI METHOD TEACHERS:
APPLICATION FOR FREE LISTING IN
THE SUZUKI TEACHERS WWW DIRECTORY

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The directory, the 1st online Suzuki Method Teachers directory is underwritten by the Suzuki Method StartUp Program at Suzuki-Method.com

Suzuki Teachers must complete the Suzuki Method Teacher Directory submission form to apply for the free listing. An asterisk (*) indicates required information.
1. *Primary Instrument:  

2. 2nd Instrument(s):
3. *Last Name:   

4. *First Name:

5. Name of School or Studio:
6. *Street Address:
7. *City:  8. *State / Province:  

9. *Postal Code:   10. *Country:

12. *Telephone number [area code + no.]:
13. *Email address:
14.  *List Suzuki teacher associations and organizations you belong to: 

[List name of each association or organization and include contact information - address, phone number, email address - for each local or regional associations and any association you list, other than ISA, SAA, or Piano Basics.

This contact information is for our office records, and does not appear in your listing.

NOTE: If the information you provide here is incomplete, you may not be listed. ]
15.  *List certifications and qualifications:

[Indicate specific teacher training, names of teacher trainers who trained you, where you trained, Suzuki Method certifications and certification levels you have earned, and any other information concerning your training and qualifications as a Suzuki teacher.

NOTE: If the information you provide here is incomplete, you may not be listed. ]
16.  *If you teach Suzuki Method only, indicate "Suzuki Method only". If you mix traditional pedagogy or other methods along with Suzuki Method, specify that you use traditional pedagogy and/or specify which other methods you mix with Suzuki Method teaching.

17. *I warrant that all information submitted here is truthful, and I agree that Suzuki-Method.com reserves the right to modify, omit, or remove any entry submitted, by typing "Yes" here:

                                                         

June 23, 2008
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