Preliminary Music Evaluation Form

Preliminary Music Evaluation

A Note to Parents: Students learning a new instrument will be prompted to complete the Music Guidance Survey portion of the online Preliminary Music Evaluation. Students should complete the Music Guidance Survey section without assistance from others. This survey will help us evaluate your child and determine which instrument your child may enjoy playing based on their aptitudes, abilities, and interests. Assisting your child with the answers will prevent us from effectively gauging their musical aptitude. If preferred (or if you have multiple children), students can take the Music Guidance Survey portion using our printable version, then you can input your student’s answers into this online form afterward. Keep in mind: The Music Guidance Surveys may take 30 minutes to 1 hour to complete. We suggest allotting adequate time to complete your registration in one sitting to avoid submission issues.

PRIMARY EMAIL*
PRIMARY PHONE*
STUDENT INFORMATION
NEW OR RETURNING STUDENT?*
NAME*
FIRST LAST
GENDER*
BIRTHDATE*
Month
Day
Year
GRADE THIS SEPTEMBER*
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CLASS INTEREST
Please select all classes you're interested in participating. Then, select your top priority choice class(es). All enrollment subject to availability during final registration.
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I'M INTERESTED IN ENROLLING IN THE FOLLOWING CLASS(ES): (SELECT ALL THAT APPLY)
- Prelude Beginner Instrument Class: 9Y+
- Recorder: 7Y+
- Band: 9Y+
- Orchestra: 9Y+
- Youth Symphony
- Music Foundations: 7Y+
- Prime Choir: 7Y - 12Y
- Junior Choir: 12Y - 14Y
- Senior Choir: 14Y+
- Dance: 7Y+
- Art: 7Y+
- Theater
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FIRST CHOICE CLASS
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SECOND CHOICE CLASS
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THIRD CHOICE CLASS
PRELIMINARY MUSIC EVALUATION
PREVIOUS PLACEMENT (SELECT ALL THAT APPLY)*
- Music Makers
- Recorder 1
- Recorder 2
- Prelude Band
- Prelude Orchestra
- Youth Band
- Youth Orchestra
- Not Applicable
DESIRED PLACEMENT (SELECT ALL THAT APPLY)*
- Prelude Beginner Instrument Class
- Band / Orchestra
- Choir
YEARS OF PIANO EXPERIENCE*
ACCOMMODATIONS NEEDED FOR (SELECT ALL THAT APPLY)
- Require Glasses
- Partially or fully impaired in left eye
- Partially or fully impaired in right eye
- Partially or fully impaired in left ear
- Partially or fully impaired in right ear
- Other notes the program should know to help your student succeed
OTHER ACCOMMODATIONS
PRELUDE BEGINNER INSTRUMENT CLASS
MUSIC GUIDANCE SURVEY*
WHAT'S YOUR INSTRUMENT PREFERENCE?
INSTRUMENT PREFERENCE #1*
INSTRUMENT PREFERENCE #2*
INSTRUMENT PREFERENCE #3*
INSTRUMENT STATUS*
INSTRUMENT(S) OWNED*
MUSICAL + PHYSICAL CHARACTERISTICS
TEETH*
- Even
- Uneven
BITE*
- Aligned
- Overbite
- Underbite
BRACES*
- None
- Now
- Anticipated
CHIN*
- Large, Round, or Square
- Pointed or Sharp
LIPS*
- Full or Large
- Medium
- Thin
LIP SHAPE*
- Teardrop
- Cupid's Bow
- Neither
HANDS*
- Small
- Medium
- Large
FINGERS*
- Short
- Medium
- Long
TORSO*
- Short
- Medium
- Long
FINGER DEXTERITY*
Please watch the above video and try the exercise modeled in the video. Then rate the ease of the exercise, below.
Very Challenging Challenging Neutral Easy Very Easy
WRITING & TYPING SKILLS*
- I Have Strong Typing Skills for My Level
- I Have Good Handwriting for My Level
MUSIC GUIDANCE SURVEY
This is the Selmer Music Guidance survey. The survey is divided into four parts including recorded examples of Pitch (Part A), Harmony (Part B), Melody (Part C), and Rhythm (Part D). Please listen to the instructions below, then complete each part.
The first section is on Pitch. On the recording, you will hear several pairs of musical tones, you are to judge whether the second tone is the same as the first or whether it is higher (H), the same (S), or lower (L).

Listen to the examples from the Pitch Intro, then complete the entire section.
A-1
A-1*
- H
- S
- L
A-2
A-2*
- H
- S
- L
A-3
A-3*
- H
- S
- L
A-4
A-4*
- H
- S
- L
A-5
A-5*
- H
- S
- L
A-6
A-6*
- H
- S
- L
A-7
A-7*
- H
- S
- L
A-8
A-8*
- H
- S
- L
A-9
A-9*
- H
- S
- L
A-10
A-10*
- H
- S
- L
A-11
A-11*
- H
- S
- L
A-12
A-12*
- H
- S
- L
A-13
A-13*
- H
- S
- L
A-14
A-14*
- H
- S
- L
A-15
A-15*
- H
- S
- L
A-16
A-16*
- H
- S
- L
Now we are ready for the second part of the survey and this one uses chords. A chord is a combination of three or more tones played together. Remember, changing a single note changes the whole chord, so if you hear any change at all, you should choose (D), otherwise, choose (S) for same.

Listen to the examples from the Harmony Intro, then complete the entire section.

PART B: HARMONY INTRO
B-1
B-1*
- S
- D
B-2
B-2*
- S
- D
B-3
B-3*
- S
- D
B-4
B-4*
- S
- D
B-5
B-5*
- S
- D
B-6
B-6*
- S
- D
B-7
B-7*
- S
- D
B-8
B-8*
- S
- D
B-9
B-9*
- S
- D
B-10
B-10*
- S
- D
B-11
B-11*
- S
- D
B-12
B-12*
- S
- D
B-13
B-13*
- S
- D
B-14
B-14*
- S
- D
B-15
B-15*
- S
- D
B-16
B-16*
- S
- D
In the third part of the survey, you will hear a combination of four tones played one after the other which form a melody. After a short rest, you will hear the second group of tones and you were to decide if the second group is the same as (S) or different (D) from the first.

Listen to the examples from the Melody Intro, then complete the entire section.

PART C: MELODY INTRO
C-1
C-1*
- S
- D
C-2
C-2*
- S
- D
C-3
C-3*
- S
- D
C-4
C-4*
- S
- D
C-5
C-5*
- S
- D
C-6
C-6*
- S
- D
C-7
C-7*
- S
- D
C-8
C-8*
- S
- D
C-9
C-9*
- S
- D
C-10
C-10*
- S
- D
C-11
C-11*
- S
- D
C-12
C-12*
- S
- D
Now, here's the last part of the survey. This section uses rhythms. Many students think this is the easiest of all. On the recording you will hear a rhythmic figure and, after a short rest, a second one. Again, you will choose (S) for same and (D) for different.

Listen to the examples from the Rhythm Intro, then complete the entire section.

PART D: RHYTHM INTRO
D-1
D-1*
- S
- D
D-2
D-2*
- S
- D
D-3
D-3*
- S
- D
D-4
D-4*
- S
- D
D-5
D-5*
- S
- D
D-6
D-6*
- S
- D
D-7
D-7*
- S
- D
D-8
D-8*
- S
- D
D-9
D-9*
- S
- D
D-10
D-10*
- S
- D
D-11
D-11*
- S
- D
D-12
D-12*
- S
- D
D-13
D-13*
- S
- D
D-14
D-14*
- S
- D
D-15
D-15*
- S
- D
D-16
D-16*
- S
- D
PRELUDE BEGINNER PERCUSSION (PIANO AUDITION)
In addition to a piano audition, a rhythm evaluation is required for beginner percussion students.
YEARS OF PIANO EXPERIENCE*
CURRENT METHOD BOOK(S) & LEVEL*
PRIVATE INSTRUCTOR NAME (PIANO)
PRIVATE INSTRUCTOR EMAIL (PIANO)
PRIVATE INSTRUCTOR PHONE (PIANO)
BAND / ORCHESTRA PLACEMENT AUDITION
PRIMARY INSTRUMENT AUDITION (BAND / ORCHESTRA)*
YEARS OF EXPERIENCE PRIMARY INSTRUMENT*
PRIVATE INSTRUCTOR NAME
PRIVATE INSTRUCTOR EMAIL
PRIVATE INSTRUCTOR PHONE
CURRENT METHOD BOOK(S) & LEVEL*
INSTRUMENT STATUS*
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SYMPHONY PLACEMENT AUDITION
Band/Orchestra is a corequisite for Symphony. Students interested in joining symphony must complete a band/orchestra audition first.
PRIMARY INSTRUMENT AUDITION (SYMPHONY)*
YEARS OF EXPERIENCE PRIMARY INSTRUMENT*
PRIVATE INSTRUCTOR NAME
PRIVATE INSTRUCTOR EMAIL
PRIVATE INSTRUCTOR PHONE
CURRENT METHOD BOOK(S) & LEVEL*
INSTRUMENT STATUS*
PRELIMINARY VOICE EVALUATION
VOCAL RANGE (PRELIMINARY)*
PRIVATE INSTRUCTOR NAME
PRIVATE INSTRUCTOR EMAIL
PRIVATE INSTRUCTOR PHONE
Comments
This field is for validation purposes and should be left unchanged.

Preliminary Music Evaluation

STUDENT INFORMATION

CLASS INTEREST

PRELIMINARY MUSIC EVALUATION

PRELUDE BEGINNER INSTRUMENT CLASS

MUSIC GUIDANCE SURVEY

PRELUDE BEGINNER PERCUSSION (PIANO AUDITION)

BAND / ORCHESTRA PLACEMENT AUDITION

SYMPHONY PLACEMENT AUDITION

PRELIMINARY VOICE EVALUATION

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